EPIPHANY THERAPEUTIC SERVICES, LLC (NPI# 1982902193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982902193 |
| Entity Type | Organization |
| Organization Name | EPIPHANY THERAPEUTIC SERVICES, LLC |
| Practice Address |
2080 Highway 1 Raceland LA 70394-3637 |
| Practice Telephone | 9852265677 |
| Mailing Telephone | 9852265677 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | STACEY GUIDRY (OWNER) |
| Authorized Official Telephone | 9852265677 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2080 HIGHWAY 1 |
| City | RACELAND |
| State | LA |
| Zip Code | 70394-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801194014 | Stacey Guidry | Counselor | 2080 Highway 1, Raceland, LA 70394-3637 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221798 | Caitlin Morris Bacon | Registered Nurse | 4244 Highway 1, Raceland, LA 70394 | 2019-02-13 |
| 1326571597 | Kakeisha Harris | Counselor | 144 Colvan St, Raceland, LA 70394 | 2017-04-05 |
| 1023468774 | Denise Taylor | Counselor | 4075 Hwy 1, Raceland, LA 70394 | 2016-06-14 |
| 1023471133 | Aubrey Orgeron | Psychiatry & Neurology | 111 Twin Oaks Dr., Raceland, LA 70394 | 2016-04-05 |
| 1114383239 | Michelle Rabb | Counselor | 3821 Hwy 1, Raceland, LA 70394 | 2016-01-05 |
| 1508221979 | Renisha Cecilia Oubre | Counselor | 3821 Highway 1, Raceland, LA 70394 | 2015-12-29 |
| 1922463983 | Kiaria Gray | Case Manager/Care Coordinator | 3821 La-1, Raceland, LA 70394 | 2015-12-17 |
| 1285068098 | Don A Falgout | Nurse Anesthetist, Certified Registered | 4608 Hwy 1, Raceland, LA 70394 | 2013-08-28 |
| 1215211933 | Dalton Joseph Boudreaux Jr. | Pharmacist | 4572 Hwy One, Raceland, LA 70394 | 2011-09-29 |
| 1790065746 | Cheri Lasseigne | Chiropractor | 108 Acadia Dr., Raceland, LA 70394 | 2011-08-23 |
| Find all providers in zip 70394 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326327875 | Wrap Around Services of Raceland LLC | Community/Behavioral Health | 4079 Highway 1, Raceland, LA 70394-3002 | 2011-08-15 |
| 1407045016 | Vision Seekers, LLC | Community/Behavioral Health | 335 Dantin St, Raceland, LA 70394-3241 | 2007-10-19 |
| 1861925729 | Cognitive Development Center of Seaside Healthcare | Community/Behavioral Health | 3821 Highway 1, Raceland, LA 70394-3146 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798826 | Shawna Janell Williams | Community/Behavioral Health | 3213 Moss Ln, Violet, LA 70092-3725 | 2020-10-20 |
| 1295333649 | Wanda Kaye's Heart | Community/Behavioral Health | 139b James Comeaux Rd # 563, Lafayette, LA 70508-3255 | 2020-10-16 |
| 1679180905 | Hope Springs Counseling Center, LLC | Community/Behavioral Health | 3800 Viking Dr, Bossier City, LA 71111-7403 | 2020-09-30 |
| 1841807930 | Prospec Coaching and Consulting, L3c | Community/Behavioral Health | 345 Prospect Rd, Florien, LA 71429-4615 | 2020-09-23 |
| 1417563370 | Southern Louisiana Behavior Consultants LLC | Community/Behavioral Health | 100 Harton Rd, Youngsville, LA 70592-6386 | 2020-09-16 |
| 1700491420 | The Kidz Coalition | Community/Behavioral Health | 3832 Jamie Lynn Dr, Marrero, LA 70072-6006 | 2020-09-10 |
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1457961872 | Robin's Sanctuary for Psychological Wellness | Community/Behavioral Health | 309 Goode St Ste 2c-2, Houma, LA 70360-4562 | 2020-08-01 |
| 1992314082 | Brighter Perspectives Behavioral Services | Community/Behavioral Health | 4942 Gawain Dr, New Orleans, LA 70127-3224 | 2020-07-24 |
| 1619585122 | Cf Counseling & Consulting, LLC | Community/Behavioral Health | 1500 N 19th St, Monroe, LA 71201-4942 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.