Alicia Bourgeois

Key facts

NPI

1831624501

Entity type

Individual (NPI type 1)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Practice address

2438 Maringouin Rd East
Maringouin, LA 70757

Phone

(225) 240-9859

NPI assigned

May 1, 2017

Sex

Female

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

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2017.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1831624501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 MARINGOUIN RD EAST",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "70757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 MARINGOUIN RD EAST",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "70757",
            "telephone_number": "225-240-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maringouin, LA

• Kenosha Baise
• Kimberly Bessix, D.D.S.
• Krystle Danelle Chase-Circello, PA
• Clifton G. Elliott, LLC
• Chantelle Laura Corrent Johnson, FNP-C
• Marina Brynn Doucet, PA
• Charlotte Marie Goudeau, LM, CPM

All providers in Maringouin, LA · Community/Behavioral Health Agency in Louisiana