Healthcare Provider Details

I. General information

NPI: 1982077863
Provider Name (Legal Business Name): ACADIANA AREA HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S MARKET ST
OPELOUSAS LA
70570-5140
US

IV. Provider business mailing address

220 S MARKET ST
OPELOUSAS LA
70570-5140
US

V. Phone/Fax

Practice location:
  • Phone: 337-948-0226
  • Fax:
Mailing address:
  • Phone: 337-948-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number485
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number485
License Number StateLA

VIII. Authorized Official

Name: ALANA ZENO
Title or Position: ADM. PROGRAM MANAGER
Credential:
Phone: 337-262-1329