| Dr. Joseph H. Tyler, Jr. Behavioral Health Clinic | |
|
302 Dulles Dr Lafayette LA 70506-3008 | |
| (337) 262-4100 | |
| (337) 262-4117 |
| Full Name | Dr. Joseph H. Tyler, Jr. Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Dulles Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Yancey Mire (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 3372624100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Joseph H. Tyler, Jr. Behavioral Health Clinic 302 Dulles Dr Lafayette LA 70506-3008 Ph: (337) 262-4100 | Dr. Joseph H. Tyler, Jr. Behavioral Health Clinic 302 Dulles Dr Lafayette LA 70506-3008 Ph: (337) 262-4100 |
| NPI Number | 1023162096 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/19/2013 |
| Medicare PECOS PAC ID | 1355235680 |
|---|---|
| Medicare Enrollment ID | O20090223000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023162096 | NPI | - | NPPES |
| 1710032 | Medicaid | LA | |
| 5HD26 | Other | LA | MEDICARE PTAN |
| Provider Name | Debra K Milson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225206709 PECOS PAC ID: 3577533249 Enrollment ID: I20040729000641 |
| Provider Name | Lindsay Legnon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861615205 PECOS PAC ID: 0547293904 Enrollment ID: I20050915000662 |
| Provider Name | Patrice M Ambrose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184759664 PECOS PAC ID: 4284649815 Enrollment ID: I20060217000273 |
| Provider Name | George W Diggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699700880 PECOS PAC ID: 9234233131 Enrollment ID: I20070403000137 |
| Provider Name | Stanley Hoover |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366423691 PECOS PAC ID: 3375608441 Enrollment ID: I20090224000736 |
| Provider Name | Robert Landreneau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588701841 PECOS PAC ID: 9234318064 Enrollment ID: I20110126000606 |
| Provider Name | Tynese H Breaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831235357 PECOS PAC ID: 3476732116 Enrollment ID: I20110126000931 |
| Provider Name | Cristy R James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871637066 PECOS PAC ID: 1759512452 Enrollment ID: I20140321001210 |
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Christie Therapy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506 Phone: 337-981-9940 Fax: 337-981-2531 | |
Heaton-mccoy Psychology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Demanade Blvd, Lafayette, LA 70503 Phone: 337-534-8679 | |
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