Healthcare Provider Details

I. General information

NPI: 1669394748
Provider Name (Legal Business Name): MRS. CLAIRE MARIE PLAUCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E MARK ST
MARKSVILLE LA
71351-2414
US

IV. Provider business mailing address

1000 CHINABERRY DR STE 900
BOSSIER CITY LA
71111-2455
US

V. Phone/Fax

Practice location:
  • Phone: 318-240-7278
  • Fax: 318-240-7293
Mailing address:
  • Phone: 318-240-7278
  • Fax: 318-240-7293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19715
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: