NPI Code Detail JSON Logo

1962747576 NPI number — AVOYELLES THERAPEUTIC SERVICES, LLC

NPI Number: 1962747576
Health Care Provider/Practitioner: AVOYELLES THERAPEUTIC SERVICES, LLC

Information about “1962747576” NPI (AVOYELLES THERAPEUTIC SERVICES, LLC) exists in 1962747576 in HTML format HTML  |  1962747576 in plain Text format TXT  |  1962747576 in PDF (Portable Document Format) PDF  |  1962747576 in an XML format XML  formats.

NPI Number : 1962747576 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962747576",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AVOYELLES THERAPEUTIC SERVICES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "301 N SEWELL PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUNKIE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71322-1939",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "225-324-1516",
    "MailingAddressFaxNumber": "318-346-9054",
    "FirstLinePracticeLocationAddress": "120 W MARK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARKSVILLE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71351-2306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-253-9216",
    "PracticeLocationAddressFaxNumber": "318-346-9054",
    "EnumerationDate": "12/07/2012",
    "LastUpdateDate": "12/07/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MELANCON",
    "AuthorizedOfficialFirstName": "ELIZABETH",
    "AuthorizedOfficialMiddleName": "SQUYRES",
    "AuthorizedOfficialTitle": "OWNER, LCSW",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "225-324-1516",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "9029",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.