Healthcare Provider Details

I. General information

NPI: 1881506632
Provider Name (Legal Business Name): START CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E BAYOU RD
THIBODAUX LA
70301-8036
US

IV. Provider business mailing address

312 E BAYOU RD
THIBODAUX LA
70301-8036
US

V. Phone/Fax

Practice location:
  • Phone: 985-266-0444
  • Fax: 985-275-4737
Mailing address:
  • Phone: 985-266-0444
  • Fax: 985-275-4737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE FELARISE
Title or Position: VICE PRESIDENT OF COMPLIANCE
Credential:
Phone: 985-333-2018