Acadiana Psychiatric Solutions LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ACADIANA PSYCHIATRIC SOLUTIONS LLC

Doing business as

AXIS Behavioral Health and Recovery

Practice address

217 Brevard CT Ste C
Alexandria, LA 71303-3997

Phone

(318) 545-2451

Fax

(866) 990-8296

NPI assigned

Mar 13, 2015

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Declouet, NP

Title

Owner/Ceo/Nurse Practitioner

Phone

(337) 322-2471

Specialties & licenses 3

Addresses

Other names 1

• AXIS Behavioral Health and Recovery Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Dauphine

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1417314071
  NPD
• Morgan Plaisance, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Carencro, LA
  • NPI 1528579836
  NPD (past)
• James Sidney Wade Jr., MD

  • Surgery Physician
  • Lafayette, LA
  • NPI 1083675177
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1275926230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53709",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053709",
            "telephone_number": "337-205-6445",
            "fax_number": "337-735-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BREVARD CT STE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033997",
            "telephone_number": "318-545-2451",
            "fax_number": "866-990-8296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5448 Provine Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033983",
            "country_code": "US",
            "telephone_number": "318-545-2451",
            "fax_number": "866-990-8296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Ridgeway Dr Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033445",
            "country_code": "US",
            "telephone_number": "337-205-6445",
            "fax_number": "337-210-3058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACADIANA PSYCHIATRIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "DECLOUET",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/CEO/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "337-322-2471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXIS Behavioral Health and Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AXIS Behavioral Health and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bassam Abi-Rached, M.D.
• Abj Rehab and Counseling Solutions
• Amanda Soden Abram
• Acs Primary Care Physicians Louisiana PC
• Active Life and Health Inc (Active Life Medical)
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• Paige L Adam
• Adams Group Home

• Psychiatric/Mental Health Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.