Healthcare Provider Details

I. General information

NPI: 1750323754
Provider Name (Legal Business Name): CYNTHIA D LABICHE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 ALFRED ST
SCOTT LA
70583-5117
US

IV. Provider business mailing address

PO BOX 1737
SCOTT LA
70583-1737
US

V. Phone/Fax

Practice location:
  • Phone: 375-410-0023
  • Fax: 337-541-0082
Mailing address:
  • Phone: 337-541-0002
  • Fax: 337-541-0082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP04893
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: