PSYCHIATRIC SOLUTIONS LLC


Address: 1101 Audubon Ave, Thibodaux, LA 70301-4957
Phone: 9852090953

PSYCHIATRIC SOLUTIONS LLC (NPI# 1184913451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184913451
Entity Type Organization
Organization Name PSYCHIATRIC SOLUTIONS LLC
Practice Address 1101 Audubon Ave
Thibodaux
LA 70301-4957
Mailing Address 929 Bayou Dularge Rd
Houma
LA 70363-7614
Practice Telephone 9852090953
Practice Fax Number 9412957336
Mailing Telephone 9852090953
Mailing Fax Number 9412957336
Enumeration Date 2011-04-07
Last Update Date 2015-01-27
Authorized Official Name MS. SANDRA BROMMELAND GONZALEZ (OWNER)
Authorized Official Telephone 9852090953
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
APO5139 LA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841714276 Psychiatric Solutions LLC Specialist 1620 N Mamer Rd Bldg B, Spokane Valley, WA 99216-3722 2017-07-27

Office Location

Street Address 1101 AUDUBON AVE
City THIBODAUX
State LA
Zip Code 70301-4957

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NPI Name Taxonomy Address Enumeration
1275535148 Thibodaux Laser and Surgery Center, LLC Nurse Anesthetist, Certified Registered 1101 Audubon Ave, Suite S4, Thibodaux, LA 70301-4957 2005-08-11
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1396063996 Richard L. Arceneaux Ophthalmology 1101 Audubon Ave, Ste N-5, Thibodaux, LA 70301-4957 2010-05-07
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1073609772 Amy M. Johnson Registered Nurse 1101 Audubon Ave, Ste S-4, Thibodaux, LA 70301-4957 2006-10-04
1871603159 Summer A. Bell Licensed Practical Nurse 1101 Audubon Ave, Ste S-4, Thibodaux, LA 70301-4957 2006-08-30
1053428342 Sandra Lee Brommeland Gonzalez Nurse Practitioner 1101 Audubon Ave, Thibodaux, LA 70301-4957 2006-08-24
1174533798 James Joseph Leonard Urology 1101 Audubon Ave, Sn3, Thibodaux, LA 70301-4957 2006-08-08
1083634133 Becky M. Logan Specialist/Technologist, Other 1101 Audubon Ave, Ste S-4, Thibodaux, LA 70301-4957 2006-07-20
1205856325 David W. Lindner Registered Nurse 1101 Audubon Ave, Ste S-4, Thibodaux, LA 70301-4957 2006-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225539620 Micah Aaron Callais Nurse Practitioner 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 2018-02-22
1982112348 Katie Leblanc Massage Therapist 1115 St. Mary Street, Thibodaux, LA 70301 2018-01-18
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1285150466 Tara Payne Counselor 303 Hickory Street, Thibodaux, LA 70301 2017-08-18
1427583475 Tyler Pettigrew Counselor 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 2017-04-27
1750825758 Jessica Barquet Counselor 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 2016-12-09
1013468230 Shenee Haas Gros Counselor 504 Cherry St., Thibodaux, LA 70301 2016-10-24
1982155388 Southern Ent Associates Inc Audiologist 604 North Acadia Road Suite 101, Thibodaux, LA 70301 2016-10-20
1215483888 Lesheeca Norman, Lpc Counselor 306 Victoria Court, Thibodaux, LA 70301 2016-09-01
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1619592839 Janelle Lavon Grant Clinic/Center 2634 Village Ln, Bossier City, LA 71112-2318 2020-06-12
1619432788 Sanctuary Counseling Services LLC Clinic/Center 1901 Manhattan Blvd Ste 115, Harvey, LA 70058-3582 2019-02-04
1962972117 Williford Wellness Counseling Services, LLC Clinic/Center 412 Travis St Ste 214, Lafayette, LA 70503-2432 2018-11-30
1497224349 Concepts Counseling Center, LLC Clinic/Center 3925 N I 10 Service Rd W Ste 222, Metairie, LA 70002-6858 2018-11-21
1992272942 Maloney Counseling LLC Clinic/Center 143 Ridgeway Dr Ste 121, Lafayette, LA 70503-3410 2018-10-29
1497235840 Imagine Recovery New Orleans, LLC Clinic/Center 728 Nashville Ave, New Orleans, LA 70115-3227 2018-08-15
1730697277 Healthy Mind Forever Clinic/Center 8050 W Judge Perez Dr Ste 3500, Chalmette, LA 70043-1742 2018-01-18
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Competitor

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City THIBODAUX
Zip Code 70301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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