Healthcare Provider Details

I. General information

NPI: 1144718693
Provider Name (Legal Business Name): ACADIAN HEALTH PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHRISTWOOD BLVD
COVINGTON LA
70433
US

IV. Provider business mailing address

1305 STUART AVE
BATON ROUGE LA
70808-8729
US

V. Phone/Fax

Practice location:
  • Phone: 985-898-0515
  • Fax:
Mailing address:
  • Phone: 512-921-4358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BRIDGET SONNIER-HILLIS
Title or Position: SOLE PROPRIETOR
Credential: PHD
Phone: 512-921-4358