| Tms Of Acadiana Llc | |
|
325 Kaliste Saloom Rd Suite 100 Lafayette LA 70508-3877 | |
| (337) 234-1499 | |
| Not Available |
| Full Name | Tms Of Acadiana Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 Kaliste Saloom Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Bruce Paul Baudoin (ADMINISTRATOR) |
| Authorized Official Contact | 3372341499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Of Acadiana Llc Po Box 81726 Lafayette LA 70598-1726 Ph: (337) 234-1499 | Tms Of Acadiana Llc 325 Kaliste Saloom Rd Suite 100 Lafayette LA 70508-3877 Ph: (337) 234-1499 |
| NPI Number | 1659623098 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 03/18/2014 |
| Medicare PECOS PAC ID | 6305077207 |
|---|---|
| Medicare Enrollment ID | O20140318000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659623098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Dickens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376522516 PECOS PAC ID: 9032203344 Enrollment ID: I20070926000287 |
| Provider Name | Susan E Uhrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619182045 PECOS PAC ID: 8022909902 Enrollment ID: I20080115000025 |
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