Wilfred Allridge
Individual provider Active NPI Counselor · Houma, LA
NPI 1669906194 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1669906194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 6522 W Main St
Houma, LA 70360-2267 - Phone
- (225) 478-9533
- Fax
- (225) 478-9534
- NPI assigned
- Apr 11, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
6522 W Main St
Houma, LA 70360-2267
Mailing address
6522 W Main St
Houma, LA 70360-2267
Phone (225) 478-9533
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. 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.