Mrs Ellen Declouet Ritch, PMHNP-BC, FNP-C | |
302 La Rue France Ste 202, Lafayette, LA 70508-3133 | |
(337) 534-0971 | |
(337) 534-0974 |
Full Name | Mrs Ellen Declouet Ritch |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 302 La Rue France Ste 202, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700292281 | NPI | - | NPPES |
2400908 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP07881 (Louisiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP07881 (Louisiana) | Primary |
Entity Name | Coolidge Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609298843 PECOS PAC ID: 7113156035 Enrollment ID: O20140218001309 |
Entity Name | Declouet Mental Health Solutions, Llc |
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Entity Type | Part B Supplier - Other |
Entity Identifiers | NPI Number: 1366011884 PECOS PAC ID: 8426450313 Enrollment ID: O20210806000183 |
Mailing Address | Practice Location Address |
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Mrs Ellen Declouet Ritch, PMHNP-BC, FNP-C 302 La Rue France Ste 202, Lafayette, LA 70508-3133 Ph: (337) 534-0971 | Mrs Ellen Declouet Ritch, PMHNP-BC, FNP-C 302 La Rue France Ste 202, Lafayette, LA 70508-3133 Ph: (337) 534-0971 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |