Healthcare Provider Details

I. General information

NPI: 1821695354
Provider Name (Legal Business Name): DAPHNE R BELFOUR CIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2020
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 GENERAL MOUTON AVE
LAFAYETTE LA
70501-8529
US

IV. Provider business mailing address

1314 N LAFITTE RD
ABBEVILLE LA
70510-3149
US

V. Phone/Fax

Practice location:
  • Phone: 337-534-8935
  • Fax:
Mailing address:
  • Phone: 337-600-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRAC-5105
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: