Deaundra Thomas Davis, RAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5044 Issued in LA

Practice address

648 Latiolais Dr
Breaux Bridge, LA 70517-4231

Phone

(337) 332-4878

Fax

(337) 332-4866

NPI assigned

Dec 1, 2022

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1740990670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 RICHARD ST",
            "city": "SUNSET",
            "state": "LA",
            "postal_code": "705845123",
            "telephone_number": "337-678-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 LATIOLAIS DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174231",
            "telephone_number": "337-332-4878",
            "fax_number": "337-332-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEAUNDRA",
        "middle_name": "THOMAS",
        "name_prefix": "Mrs.",
        "credential": "RAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavis@baartprograms.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "648 Latiolais Dr",
            "city": "Breaux Bridge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705174231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cypress Counseling Services, LLC
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• Phil J Daigle Jr., RPH
• Francheska Davis
• Joshua Davis
• Benjamin Thomas Degatur, M.D.
• Warren J. Degatur Jr., M.D.
• Deidre L Stelly MD Apmllc

• Addiction (Substance Use Disorder) Counselor in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.