Psychiatric Associates of Lafayette, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MD.016463 Issued in LA

Legal business name

PSYCHIATRIC ASSOCIATES OF LAFAYETTE, LLC

Practice address

1438 S College Rd
Lafayette, LA 70503-2912

Phone

(337) 262-8672

Fax

(337) 232-5600

NPI assigned

Jul 16, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Alisa Kisha Diggs

Title

Administrative Assistant

Phone

(337) 262-8672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1730596313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-262-8672",
            "fax_number": "337-232-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-262-8672",
            "fax_number": "337-232-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF LAFAYETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "DIGGS",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "KISHA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "337-262-8672",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "MD.016463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Provost, DC
• Paul Roland Provost, RPH
• Matthew Prudhomme
• Rebecca Brock Prudhomme, PHARMD
• Gemmalyn Pryor
• Psychiatric Associates of Southwest Louisiana
• Psychological Insight LLC
• PT Advancements, LLC
• PT Pros, Inc.
• Cheryl Daly Puckett, RD, LDN

• Mental Health Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.