MEDICARE: MATTHEWS ARCENEAUX LPN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator
3	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1982475539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEWS ARCENEAUX LPN

Provider Business Mailing Address
First Line	:	2830 LOUISIANA AVE
Second Line	:	24
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1371
Country	:	US
Telephone Number	:	337-347-0390
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 LOUISIANA AVE
Second Line	:	24
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1371
Country	:	US
Telephone Number	:	337-347-0390
Fax Number	:

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

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/16/2024

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