Stephanie Lacour
Individual provider Active NPI Community/Behavioral Health Agency · Bunkie, LA
NPI 1376289504 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1376289504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 1140 Shirley Rd
Bunkie, LA 71322-1545 - Phone
- (318) 346-8001
- Fax
- (318) 346-8005
- NPI assigned
- May 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LA | Yes |
Addresses
Primary practice location
1140 Shirley Rd
Bunkie, LA 71322-1545
Mailing address
1140 Shirley Rd
Bunkie, LA 71322-1545
Phone (318) 346-8001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1544761 | Medicaid | LA |
Other providers in Bunkie, LA
- Janelle V Juneau
- Calvin Keller
- Casey Ann Kendall
- Robert Harris Krupkin
- Tiffany Laborde
- Paul B Lapoint
- Paul Bradley Lapoint Jr.
- Joseph Oliver Laprairie Jr.
- Clay R Lassiter
- Blaine Edward Lavergne
All providers in Bunkie, LA · Community/Behavioral Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.