Healthcare Provider Details

I. General information

NPI: 1770707028
Provider Name (Legal Business Name): CLINICAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 CAROLINE ST
THIBODAUX LA
70301-2809
US

IV. Provider business mailing address

921 CAROLINE ST
THIBODAUX LA
70301-2809
US

V. Phone/Fax

Practice location:
  • Phone: 985-447-2006
  • Fax: 985-447-4005
Mailing address:
  • Phone: 985-447-2006
  • Fax: 985-447-4005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: J CHRIS BARRILLEAUX
Title or Position: PRACTICE MANAGER
Credential: LCSW
Phone: 985-447-2006