MEDICARE: LOCAL PSYCH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP0489	LA

General Provider Information

NPI Number	:	1265568034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOCAL PSYCH SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1737
Second Line	:
City	:	SCOTT
State	:	LA
Zip	:	70583-1737
Country	:	US
Telephone Number	:	337-288-8877
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 MARIE ST
Second Line	:
City	:	SUNSET
State	:	LA
Zip	:	70584-6100
Country	:	US
Telephone Number	:	337-662-0004
Fax Number	:	337-643-8407

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA DUGAS LABICHE
Credential	:	APRN
Telephone Number	:	337-288-8877

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	04/27/2020

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