5TH DIMENSION RECOVERY CENTER (NPI# 1982217758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982217758 |
| Entity Type | Organization |
| Organization Name | 5TH DIMENSION RECOVERY CENTER |
| Practice Address |
630 Wilson St Lafayette LA 70503-2154 |
| Mailing Address |
104 Windrush Ln Lafayette LA 70506-7855 |
| Practice Telephone | 3372801625 |
| Mailing Telephone | 3372801625 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | LEATHA KAY ANATOLE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3372801625 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | 5TH DIMENSION RECOVERY CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| 5th Dimension Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374241 | 5th Dimension Recovery Center | Clinic/Center | 630 Wilson St, Lafayette, LA 70503-2154 | 2020-07-29 |
| Street Address |
630 WILSON ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374241 | 5th Dimension Recovery Center | Clinic/Center | 630 Wilson St, Lafayette, LA 70503-2154 | 2020-07-29 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101293 | Dawn Deano | Counselor | 400 E Simpson St Ste 108, Lafayette, CO 80026-2359 | 2020-10-09 |
| 1689280174 | Amy Giles Arceneaux | Counselor | 850 Kaliste Saloom Rd Bldg Ste 204, Lafayette, LA 70508-4230 | 2020-09-20 |
| 1760095459 | Julie Giroir Galloway | Counselor | 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA 70508-6962 | 2020-08-24 |
| 1497381339 | Joshua Thompson O'connor | Counselor | 412 W University Ave Ste 203, Lafayette, LA 70506-3673 | 2020-03-22 |
| 1255963971 | Alisha Denise Harrell | Counselor | 2550 Days Rd, Lafayette, TN 37083-5078 | 2020-02-11 |
| 1821637075 | Adam David Harris | Counselor | 655 Aspen Ridge Dr, Lafayette, CO 80026-9341 | 2020-01-04 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1255981726 | Jason Delahoussaye | Counselor | 1223 Camellia Blvd Ste 201, Lafayette, LA 70508-7220 | 2019-09-17 |
| 1417518341 | Kristen Nicole Neville | Counselor | 143 Ridgeway Dr # 201, Lafayette, LA 70503-3414 | 2019-06-21 |
| 1528623980 | Jason Bailey | Counselor | 1921 Dulles Dr, Lafayette, LA 70506-2716 | 2019-05-01 |
| Find all providers in LAFAYETTE | ||||
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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.