Matthew Ira Benoit I, CIT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lafayette, LA
NPI 1861766446 · NPPES record last updated Feb 29, 2012
Key facts
- NPI
- 1861766446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 3085 (LA)
- Practice address
- 100 Poydras St
Lafayette, LA 70501-4740 - Phone
- (337) 231-6365
- Fax
- (337) 231-6372
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3085 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Parish Sheriff'S Office | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3085 | LA | Yes |
Addresses
Primary practice location
100 Poydras St
Lafayette, LA 70501-4740
Mailing address
100 Poydras St
Lafayette, LA 70501-4740
Phone (337) 231-6365
Other providers in Lafayette, LA
- Cortney Benoit
- Daniel Ross Benoit
- Debbie R. Benoit
- Kathy R Benoit
- Larry James Benoit
- Sonya F Benoit
- Tina Marie Benoit
- Michael Berard
- Rosie Berard
- Chad Beraud
All providers in Lafayette, 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 29, 2012. 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.