MRS. IVY DESIRAE BENNETT SIAS (NPI# 1659741999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659741999 |
| Entity Type | Individual |
| Full Name | MRS. IVY DESIRAE BENNETT SIAS |
| Credential | M.S., NCC, LPC |
| Practice Address |
1010 Auburn Ave Lafayette LA 70503-2308 |
| Mailing Address |
326 Saint Matthias Dr Carencro LA 70520-5576 |
| Practice Telephone | 3372329457 |
| Practice Fax Number | 3372329459 |
| Mailing Telephone | 3104295025 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 5550 | LA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5550 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1010 AUBURN AVE |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518476365 | Shuntz K Newsome | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-09-25 |
| 1740706795 | Marina Levine Zeno | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-08-21 |
| 1578092607 | Chastity Polk | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-06-12 |
| 1801324496 | Rebecca Dawson | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-05-26 |
| 1295262483 | Edolia Declouette | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-05-18 |
| 1386171502 | Crystal Brison | Counselor | 1010 Auburn Ave, Lafayette, LA 70503 | 2017-05-18 |
| 1770010951 | Ronald Gale Jr. | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-05-18 |
| 1679000863 | Kenneth Batiste | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-05-18 |
| 1861929143 | Wolona Danielle Bruno | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-05-17 |
| 1699202978 | Mallory Tranaee Gothe | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049926 | Lindsay Blair Charles | Counselor | 100 Saw Mill Rd Ste 3300, Lafayette, IN 47905-5598 | 2020-10-07 |
| 1346701711 | Lacie Chappuis | Counselor | 143 Ridgeway Dr Ste 303, Lafayette, LA 70503-3410 | 2019-03-28 |
| 1518427434 | Janice Weber | Counselor | 143 Ridgeway Dr Ste 201, Lafayette, LA 70503-3414 | 2019-03-25 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| 1770051005 | Kerri Prejean | Counselor | 850 Kaliste Saloom Rd Ste 218, Lafayette, LA 70508-4230 | 2018-11-05 |
| 1750884094 | Courtney Miller | Counselor | 3112 W Pinhook Rd Ste B, Lafayette, LA 70508-3443 | 2018-03-13 |
| 1962913970 | Heather Cook | Counselor | 400 E Simpson St Ste 104, Lafayette, CO 80026-2359 | 2017-10-17 |
| 1851801377 | Wanda Faye Ventress | Counselor | 130 Chappuis Dr, Lafayette, LA 70501-3656 | 2017-10-11 |
| 1376901272 | Elizabeth Baumer | Counselor | 93 Magnate Drive, Lafayette, LA 70508 | 2016-02-05 |
| 1497120927 | Veronicle Lorena Guillory | Counselor | 412 Timber Creek Dr, Lafayette, LA 70506-5055 | 2015-12-09 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on MRS. IVY DESIRAE BENNETT SIAS.
| 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.