MEDICARE: MS. ALLISON ARABELLE COPELAND CIT

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1386507143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLISON ARABELLE COPELAND CIT

Provider Business Mailing Address
First Line	:	111 E MAIN ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-6935
Country	:	US
Telephone Number	:	337-315-1498
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 W PINHOOK RD STE 401
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3212
Country	:	US
Telephone Number	:	337-962-3159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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