SKYI VINCENT BORDELON (NPI# 1467916072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467916072 |
| Entity Type | Individual |
| Full Name | SKYI VINCENT BORDELON |
| Credential | LPC |
| Practice Address |
216 Acorn Dr Lafayette LA 70507-4204 |
| Practice Telephone | 3375016175 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4664 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LPC BOARD OF EXAMINERS | 4664 | 01 |
| Street Address |
216 ACORN DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056640 | Heather Lynn Reid | Counselor | 1410 Adonis Ct, Lafayette, CO 80026-1406 | 2020-09-03 |
| 1013543115 | Kelli German | Counselor | 805 Teurlings Dr, Lafayette, LA 70501-5251 | 2020-03-20 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1487141503 | Ashley Hefner | Counselor | 800 W Congress St Ste D, Lafayette, LA 70501-5749 | 2018-04-13 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1386159754 | Maria Garcia | Counselor | 111 Galvez Dr, Lafayette, LA 70506-6721 | 2017-12-07 |
| 1003338401 | Peter Brian Derouen | Counselor | 160 Industrial Pkwy Ste 105, Lafayette, LA 70508-8309 | 2017-07-07 |
| 1972037273 | Summer Royale Whittington | Counselor | 120 Amber St, Lafayette, LA 70507-5628 | 2017-04-13 |
| 1982135331 | Tiffiney Tate | Counselor | 100 S Meyers Dr, Apt 1511, Lafayette, LA 70508-7167 | 2017-03-27 |
| 1881046456 | Kelly Luck | Counselor | 2422 Concord Cir, Lafayette, CO 80026-3417 | 2016-07-07 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on SKYI VINCENT BORDELON.
| 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.