Acadiana Outreach Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

008597939 Issued in LA

Legal business name

ACADIANA OUTREACH CENTER

Practice address

625 N University
Lafayette, LA 70502

Phone

(337) 237-7618

Fax

(337) 237-7650

NPI assigned

Mar 4, 2016

Last updated

Mar 4, 2016By 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

Jeanne-Alyce Davis, B.S., CAC

Title

Counselor

Phone

(337) 237-7618

Specialties & licenses 1

Addresses

Tax ID family

Acadiana Outreach Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Acadiana Outreach Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lafayette, LA
  • NPI 1801110408
  NPD tax ID

Locations

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1275993156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2747",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70502",
            "telephone_number": "337-237-7618",
            "fax_number": "337-237-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N UNIVERSITY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70502",
            "telephone_number": "337-237-7618",
            "fax_number": "337-237-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEANNE-ALYCE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "337-237-7618",
        "authorized_official_credential": "B.S., CAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "008597939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acadiana Medical Transportation (Acadiana Medical Supplies)
• Acadiana OB/GYN, LLC
• Acadiana Oncologic Imaging Center LLC
• Acadiana Orthopaedic Group
• Acadiana Otolaryngology Head and Neck Surgery LLC
• Acadiana Outreach Center, Inc.
• Acadiana Pediatric Gastroenterology and Hepatology
• Acadiana Personal Care
• Acadiana Personal Care Services
• Acadiana Personal Care Services

• Substance Abuse Rehabilitation Facility in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Substance Abuse Rehabilitation Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.