Healthcare Provider Details

I. General information

NPI: 1194182428
Provider Name (Legal Business Name): LOUIS ANDRE ARCENEAUX DBH, HS-BCP (4850)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2016
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 GREENFARM RD
LAFAYETTE LA
70508-5840
US

IV. Provider business mailing address

112 GREENFARM RD
LAFAYETTE LA
70508-5840
US

V. Phone/Fax

Practice location:
  • Phone: 337-781-6640
  • Fax:
Mailing address:
  • Phone: 337-781-6640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number4850
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: