Healthcare Provider Details

I. General information

NPI: 1497683015
Provider Name (Legal Business Name): DEON DECOUX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MANHATTAN BLVD STE 91
HARVEY LA
70058-3493
US

IV. Provider business mailing address

2201 MANHATTAN BLVD STE 91
HARVEY LA
70058-3493
US

V. Phone/Fax

Practice location:
  • Phone: 504-338-3292
  • Fax:
Mailing address:
  • Phone: 504-338-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: