Acadiana Concern for AIDS Relief Education and Support, Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Lafayette, LA
NPI 1457413635 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1457413635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- SA0008130 (LA)
- Legal business name
- ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC.
- Practice address
- 809 Martin Luther King Jr Dr
Lafayette, LA 70501-1884 - Phone
- (337) 233-2437
- Fax
- (337) 235-4178
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Claude Martin
- Title
- Executive Director
- Phone
- (337) 233-2437
Corporate family (same tax ID) 1
Practitioners 23
-
Andre' Fontenot-Knapp, NURSE PRACTITIONER
-
Shayla R Lux Autrey, FNP
-
Moses Braimoh, MD
-
John Cedric Dauphin, M.D.
-
Gerald Dale Garber, MS, LPC-S
-
Lisa Griffin, APRN
-
Barry Baines Lafleur, LCSW BACS
-
Jason D. Landry, M.D.
-
Jessica Lynn Landry, NURSE PRACTITIONER
-
Anna Malesky, M.D.
-
Christy Leigh McDonald Lenahan, FNP-BC
-
Edugie Valentine Omoregbee, D.P.M
-
Cynthia Jeannette Preis, APRN
-
Edgar Pumarol Castillo, M.D.
-
David Savoie, APRN, PMHNP-BC
-
Galeno Sibilia, MD
-
Jamie Ruth Vanhuis, APRN, FNP-C
-
Clinton Young, M.D.
-
Kathy Lynn Chastain, NURSE PRACTITIONER
-
Claudia Cuervo, MD
-
Rebecca Oyer, M.S.W., L.C.S.W.
National Provider Directory
- Tax ID family
- Acadiana Concern for AIDS Relief Education and Support Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | CM4010 | LA | |
| Clinic/Center | 261Q00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | SA0008130 | LA | Yes |
Addresses
Primary practice location
809 Martin Luther King Jr Dr
Lafayette, LA 70501-1884
Mailing address
PO Box 3865
Lafayette, LA 70502-3865
Phone (337) 233-2437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1109711 | Medicaid | LA | |
| 600749121 | Other | LA | MGL MIS |
Other providers in Lafayette, LA
- Acadiana Center LLC
- Acadiana Community Based Services
- Acadiana Community Based Services
- Acadiana Community Based Services Inc.
- Acadiana Concern for AIDS Relief Education and Support, Inc.
- Acadiana Counseling Connection, LLC
- Acadiana Employee Assessment & Referral Services, LLC
- Acadiana Endocrinology Clinic LLC
- Acadiana Endodontics
- Acadiana Endoscopy Center, Inc.
All providers in Lafayette, LA · Substance Abuse Rehabilitation Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 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.