Healthcare Provider Details

I. General information

NPI: 1831881820
Provider Name (Legal Business Name): A&D MEDICAL BILLING SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 HIGHWAY 754
SUNSET LA
70584-5022
US

IV. Provider business mailing address

PO BOX 1108
SUNSET LA
70584-1108
US

V. Phone/Fax

Practice location:
  • Phone: 337-351-7320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: ALBERTA GUILBEAU
Title or Position: OWNER/BILLER
Credential:
Phone: 337-351-7320