Healthcare Provider Details

I. General information

NPI: 1609604271
Provider Name (Legal Business Name): GUILLOT THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 SCHEXNAYDRE LANE
DESTREHAN LA
70047-3708
US

IV. Provider business mailing address

PO BOX 3
DESTREHAN LA
70047-0003
US

V. Phone/Fax

Practice location:
  • Phone: 504-237-2077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER GUILLOT
Title or Position: OWNER
Credential: BCBA, LBA, MT-BC
Phone: 504-237-2077