| Southeast Neuroscience Center, Llc | |
|
970 S Acadia Rd Thibodaux LA 70301-4978 | |
| (985) 917-3007 | |
| (985) 447-4209 |
| Full Name | Southeast Neuroscience Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 970 S Acadia Rd, Thibodaux, Louisiana |
| Authorized Official Name and Position | Gabriel Lee Nugent (DIRECTOR) |
| Authorized Official Contact | 9858506805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Neuroscience Center, Llc Po Box 4051 Houma LA 70361-4051 Ph: (985) 917-3007 | Southeast Neuroscience Center, Llc 970 S Acadia Rd Thibodaux LA 70301-4978 Ph: (985) 917-3007 |
| NPI Number | 1962881573 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962881573 | NPI | - | NPPES |
| 1947482 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
Dr. Maria B. Cruse Apmg Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 Phone: 985-493-9304 Fax: 985-493-9305 | |
Maria M Braud Md A Professional Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 S Acadia Rd, Ste C, Thibodaux, LA 70301 Phone: 985-447-1216 Fax: 985-447-1218 | |
Normal Life Of Lafayette, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Highway 308, Thibodaux, LA 70301 Phone: 337-233-2731 | |
Dawn Grazier Chadwick, Strategic Interventions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Cedar Tree Dr, Thibodaux, LA 70301 Phone: 985-447-0440 | |
Thibodaux Regional Network Development Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 N. Acadia Rd, Ste 2300, Thibodaux, LA 70301 Phone: 985-493-3090 Fax: 985-493-3091 | |
Thibodaux Behavioral Health, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 New Hope Dr, Thibodaux, LA 70301 Phone: 985-387-1198 | |
Normal Life Of Lafayette, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 Magnolia St, Thibodaux, LA 70301 Phone: 337-233-2731 |