Healthcare Provider Details

I. General information

NPI: 1386507143
Provider Name (Legal Business Name): ALLISON ARABELLE COPELAND CIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 W PINHOOK RD STE 401
LAFAYETTE LA
70508-3212
US

IV. Provider business mailing address

111 E MAIN ST
LAFAYETTE LA
70501-6935
US

V. Phone/Fax

Practice location:
  • Phone: 337-962-3159
  • Fax:
Mailing address:
  • Phone: 337-315-1498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: