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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
APO5139 | LA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841714276 | Psychiatric Solutions LLC | Specialist | 1620 N Mamer Rd Bldg B, Spokane Valley, WA 99216-3722 | 2017-07-27 |
Street Address |
1101 AUDUBON AVE |
City | THIBODAUX |
State | LA |
Zip Code | 70301-4957 |
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 |
1316436199 | Richard L Arceneaux, Md LLC | Ophthalmology | 1101 Audubon Ave, Suite N-5, Thibodaux, LA 70301 | 2018-05-07 |
1396063996 | Richard L. Arceneaux | Ophthalmology | 1101 Audubon Ave, Ste N-5, Thibodaux, LA 70301-4957 | 2010-05-07 |
1710219688 | Quentin D. Falgoust, Md, Amc | Eyewear Supplier (Equipment, not the service) | 1101 Audubon Ave, Ste N5, Thibodaux, LA 70301-4957 | 2010-02-03 |
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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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 |
1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
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 |
Find all providers in zip 70301 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
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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1275159238 | Sonia S. Blauvelt, Ph.d., LLC | Clinic/Center | 11914 Justice Ave Ste B3, Baton Rouge, LA 70816-5315 | 2020-06-24 |
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 |
1225540529 | Tonya Williams | Clinic/Center | 1073 Abbie Glenn Ln, Shreveport, LA 71106-7793 | 2017-10-27 |
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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.