Healthcare Provider Details

I. General information

NPI: 1508574955
Provider Name (Legal Business Name): JANNE MARIE BENOIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 MELANCON RD
MARKSVILLE LA
71351-3065
US

IV. Provider business mailing address

755 EARL BARBRY SR. BLVD
MARKSVILLE LA
71351
US

V. Phone/Fax

Practice location:
  • Phone: 318-240-6435
  • Fax: 318-253-0083
Mailing address:
  • Phone: 318-264-1858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: