| Acadiana Center For Behavioral Health, Llc | |
|
515 W University Ave Lafayette LA 70506-3651 | |
| (337) 261-4044 | |
| (866) 811-5090 |
| Full Name | Acadiana Center For Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 515 W University Ave, Lafayette, Louisiana |
| Authorized Official Name and Position | Rachel A Forman (OWNER) |
| Authorized Official Contact | 3372614044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadiana Center For Behavioral Health, Llc 515 W University Ave Lafayette LA 70506-3651 Ph: (337) 261-4044 | Acadiana Center For Behavioral Health, Llc 515 W University Ave Lafayette LA 70506-3651 Ph: (337) 261-4044 |
| NPI Number | 1285057323 |
|---|---|
| Provider Enumeration Date | 01/25/2014 |
| Last Update Date | 01/25/2014 |
| Medicare PECOS PAC ID | 4486918489 |
|---|---|
| Medicare Enrollment ID | O20180427000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285057323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7734 (Louisiana) | Primary |
| Provider Name | Rachel Foreman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417385618 PECOS PAC ID: 5395009393 Enrollment ID: I20180427000655 |
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