Bryant Blanchard
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Breaux Bridge, LA
NPI 1740812940 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1740812940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 251 Rees St
Breaux Bridge, LA 70517-4611 - Phone
- (337) 442-6823
- Fax
- (337) 442-6825
- NPI assigned
- Feb 6, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
251 Rees St
Breaux Bridge, LA 70517-4611
Mailing address
251 Rees St
Breaux Bridge, LA 70517-4611
Phone (337) 442-6823
Other providers in Breaux Bridge, LA
- Katherine Richardson Bergeron
- Mary Katherine Bertrand
- Lori Guidry Bienvenu
- Bio-Medical Applications of Louisiana, LLC
- Anthony I Blanchard
- Jennifer Blanchard
- Cathy Maria Bobb
- Body Symmetry, LLC
- Bon Ami Pharmacy
- Bon Ami Pharmacy
All providers in Breaux Bridge, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2020. 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.