Healthcare Provider Details

I. General information

NPI: 1417094384
Provider Name (Legal Business Name): LAFOURCHE PARISH SCHOOL BOARD LA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 EAST 7TH STREET
THIBODAUX LA
70301
US

IV. Provider business mailing address

PO BOX 879
THIBODAUX LA
70301-0879
US

V. Phone/Fax

Practice location:
  • Phone: 985-446-5631
  • Fax: 985-446-0801
Mailing address:
  • Phone: 985-446-5631
  • Fax: 985-446-0801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. FLOYD BENOIT JR.
Title or Position: MEDICAID COORDINATOR
Credential:
Phone: 985-435-4621