Healthcare Provider Details

I. General information

NPI: 1255128484
Provider Name (Legal Business Name): A & C HEALTH CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3809 AMBASSADOR CAFFERY PKWY STE 120
LAFAYETTE LA
70503-5275
US

IV. Provider business mailing address

3809 AMBASSADOR CAFFERY PKWY STE 120
LAFAYETTE LA
70503-5275
US

V. Phone/Fax

Practice location:
  • Phone: 337-446-4501
  • Fax: 337-361-2144
Mailing address:
  • Phone: 337-446-4501
  • Fax: 337-361-2144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM PORCHE
Title or Position: PRESIDENT
Credential:
Phone: 337-296-7835