Healthcare Provider Details

I. General information

NPI: 1265568034
Provider Name (Legal Business Name): LOCAL PSYCH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MARIE ST
SUNSET LA
70584-6100
US

IV. Provider business mailing address

PO BOX 1737
SCOTT LA
70583-1737
US

V. Phone/Fax

Practice location:
  • Phone: 337-662-0004
  • Fax: 337-643-8407
Mailing address:
  • Phone: 337-288-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP0489
License Number StateLA

VIII. Authorized Official

Name: CYNTHIA DUGAS LABICHE
Title or Position: OWNER
Credential: APRN
Phone: 337-288-8877