| Dr. Joseph H. Tyler, Jr. Behavioral Health Clinic | |
|
302 Dulles Dr Lafayette LA 70506-3008 | |
| (337) 262-4100 | |
| Not Available |
| Full Name | Dr. Joseph H. Tyler, Jr. Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Dulles Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Alana Zeno (ADM. PROGRAM MANAGER) |
| Authorized Official Contact | 3372621329 |
| 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 | 1104253467 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 7517198047 |
|---|---|
| Medicare Enrollment ID | O20140327000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104253467 | NPI | - | NPPES |
| Provider Name | Kevin W. Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356312912 PECOS PAC ID: 7113813387 Enrollment ID: I20040226000858 |
| Provider Name | Simone P Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760455570 PECOS PAC ID: 7517928690 Enrollment ID: I20041021000937 |
| Provider Name | Lori E Vidrine Parks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619063591 PECOS PAC ID: 2860595618 Enrollment ID: I20070315000120 |
| Provider Name | George W Diggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699700880 PECOS PAC ID: 9234233131 Enrollment ID: I20070403000137 |
| Provider Name | Alfred E Buxton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457474983 PECOS PAC ID: 1052490075 Enrollment ID: I20080502000032 |
| Provider Name | Pamela L Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699851931 PECOS PAC ID: 2062580038 Enrollment ID: I20081003000198 |
| Provider Name | Ching-shih Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336207216 PECOS PAC ID: 7416010319 Enrollment ID: I20090120000033 |
| Provider Name | Diane F Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992848774 PECOS PAC ID: 3173688249 Enrollment ID: I20090224000755 |
| 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 | Lacey M Keenze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639459266 PECOS PAC ID: 5294990438 Enrollment ID: I20120713000042 |
| Provider Name | Jill Dubois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205107695 PECOS PAC ID: 5698926053 Enrollment ID: I20121112000259 |
| Provider Name | Cristy R James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871637066 PECOS PAC ID: 1759512452 Enrollment ID: I20140321001210 |
| Provider Name | Nancy F Bourque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043560162 PECOS PAC ID: 9436236460 Enrollment ID: I20140422002046 |
| Provider Name | Nicole J Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992133821 PECOS PAC ID: 0446483317 Enrollment ID: I20140429001873 |
| Provider Name | Amy M Lacouture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841617594 PECOS PAC ID: 2466676614 Enrollment ID: I20140610001498 |
| Provider Name | Alice C Robin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962712687 PECOS PAC ID: 5496034258 Enrollment ID: I20161118000095 |
| Provider Name | Heather Spallino Duplechain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053898403 PECOS PAC ID: 9638420060 Enrollment ID: I20180925002191 |
| Provider Name | John S Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144783408 PECOS PAC ID: 5890029011 Enrollment ID: I20190621002072 |
| Provider Name | Stefanie M Henrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659522845 PECOS PAC ID: 0446582407 Enrollment ID: I20191024003063 |
| Provider Name | Sanara R Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457992901 PECOS PAC ID: 4880026616 Enrollment ID: I20191118000832 |
| Provider Name | Ann M Curnutte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568130367 PECOS PAC ID: 9830597624 Enrollment ID: I20211008000434 |
| Provider Name | Ivy Renee Lation |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528432713 PECOS PAC ID: 9638564016 Enrollment ID: I20220322001029 |
| Provider Name | Luke A Verret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851785810 PECOS PAC ID: 2264734920 Enrollment ID: I20220520000361 |
| Provider Name | Seddy M Boura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568176816 PECOS PAC ID: 8224409495 Enrollment ID: I20230126000471 |
| Provider Name | Peter William Croughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215565122 PECOS PAC ID: 5092125674 Enrollment ID: I20240101000112 |
| Provider Name | Nanette M Angelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417629601 PECOS PAC ID: 3678923786 Enrollment ID: I20240102000554 |
| Provider Name | Marci D Pere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245778026 PECOS PAC ID: 3577913607 Enrollment ID: I20240102001313 |
| Provider Name | Ryan M Angelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275975005 PECOS PAC ID: 2567807050 Enrollment ID: I20240223001992 |
| Provider Name | Charlesetta D Andrus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871232447 PECOS PAC ID: 5890146997 Enrollment ID: I20240228001900 |
| Provider Name | Katelyn B Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558069880 PECOS PAC ID: 0345690277 Enrollment ID: I20240228002104 |
| Provider Name | Kathleen M Hogan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194021048 PECOS PAC ID: 8527418425 Enrollment ID: I20240229000484 |
| Provider Name | Mickey Gudon Businelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689868234 PECOS PAC ID: 4789035981 Enrollment ID: I20240229000594 |
| Provider Name | Jenny B Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629202254 PECOS PAC ID: 1658716634 Enrollment ID: I20240229001477 |
| Provider Name | April E Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871086538 PECOS PAC ID: 4486003308 Enrollment ID: I20240229002125 |
| Provider Name | Lauren Holston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669243606 PECOS PAC ID: 4082051107 Enrollment ID: I20240326000718 |
| Provider Name | Erica W Matthews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205579273 PECOS PAC ID: 4688014376 Enrollment ID: I20240429001327 |
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 | |
Louisiana Health & Rehabilitation Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Webb St, Lafayette, LA 70501 Phone: 337-267-7375 Fax: 337-269-5616 | |
Pathway Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508 Phone: 337-534-4214 Fax: 337-484-1405 | |
Devin Dupre Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 315 S College Rd, Lafayette, LA 70503 Phone: 337-349-3103 | |
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 | |
A Lewis Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Robley Dr Apt 7308, Lafayette, LA 70503 Phone: 714-768-8189 |