| Acadiana Addiction Services | |
|
218 Rue Beauregard Ste C Lafayette LA 70508-3284 | |
| (337) 484-1415 | |
| (337) 484-1419 |
| Full Name | Acadiana Addiction Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 218 Rue Beauregard Ste C, Lafayette, Louisiana |
| Authorized Official Name and Position | Matthew Alexander Declouet (NURSE PRACTITIONER) |
| Authorized Official Contact | 3374841415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadiana Addiction Services 218 Rue Beauregard Ste C Lafayette LA 70508-3284 Ph: (337) 484-1415 | Acadiana Addiction Services 218 Rue Beauregard Ste C Lafayette LA 70508-3284 Ph: (337) 484-1415 |
| NPI Number | 1366941155 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366941155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1518342310 (Louisiana) | Primary |
Wael Alabdulkarim, Md, Apmc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Rue Iberville Ste 110, Lafayette, LA 70508 Phone: 337-234-0630 Fax: 337-234-0632 | |
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