Healthcare Provider Details

I. General information

NPI: 1952617037
Provider Name (Legal Business Name): LOUISIANA SPECIAL NEEDS CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7591 I 49 S SERVICE RD SUITE 2
OPELOUSAS LA
70570-8154
US

IV. Provider business mailing address

7591 I 49 S SERVICE RD SUITE 2
OPELOUSAS LA
70570-8154
US

V. Phone/Fax

Practice location:
  • Phone: 337-407-2410
  • Fax: 337-942-6764
Mailing address:
  • Phone: 337-407-2410
  • Fax: 337-942-6764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL SAVOIE
Title or Position: PRESIDENT
Credential:
Phone: 337-407-2410