| Christopher Broussard, MED | |
|
333 S Main St, Opelousas, LA 70570 | |
| (337) 945-1032 | |
| Not Available |
| Full Name | Christopher Broussard |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 333 S Main St, Opelousas, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730599143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6143 (Louisiana) | Primary |
| Entity Name | Acadiana Practitioners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346755154 PECOS PAC ID: 4587924188 Enrollment ID: O20180223000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Broussard, MED 333 S Main St, Opelousas, LA 70570-6137 Ph: (337) 945-1032 | Christopher Broussard, MED 333 S Main St, Opelousas, LA 70570 Ph: (337) 945-1032 |
Christopher Cane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 Edith St, Opelousas, LA 70570 Phone: 337-942-9292 Fax: 337-942-9292 | |
Keisha Thibodeaux, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 Edith St, Opelousas, LA 70570 Phone: 337-942-9292 Fax: 337-942-9220 | |
Erica Zacharie, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 N Main St, Opelousas, LA 70570 Phone: 337-942-6400 | |
Alicia Reed, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 Kerr St Ste 105, Opelousas, LA 70570 Phone: 337-678-3132 Fax: 337-678-3139 | |
Tyneshia Taylor Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Ventre Blvd, Apt. 214, Opelousas, LA 70570 Phone: 337-739-5740 | |
Anika Landry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 Edith St, Opelousas, LA 70570 Phone: 337-942-9292 | |
Ariel Guillory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 Edith St, Opelousas, LA 70570 Phone: 337-942-9292 Fax: 337-942-9292 |