Avoyelles Therapeutic Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9029 Issued in LA

Legal business name

AVOYELLES THERAPEUTIC SERVICES, LLC

Practice address

120 W Mark St
Marksville, LA 71351-2306

Phone

(318) 253-9216

Fax

(318) 346-9054

NPI assigned

Dec 7, 2012

Organization subpart

No

Name

Mrs. Elizabeth Squyres Melancon, LCSWNPI 1437455680

Title

Owner, LCSW

Phone

(225) 324-1516

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Squyres Melancon, MSW, LCSW

  • Clinical Social Worker
  • Marksville, LA
  • NPI 1437455680

  Clinical

  NPD (past) Authorized official
• Tracy Nicole Regard, LCSW

  • Clinical Social Worker
  • Marksville, LA
  • NPI 1942270160

  Clinical

  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2012.

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1962747576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N SEWELL PL",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713221939",
            "telephone_number": "225-324-1516",
            "fax_number": "318-346-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARK ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512306",
            "telephone_number": "318-253-9216",
            "fax_number": "318-346-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVOYELLES THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SQUYRES",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "225-324-1516",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Misty Lauren Blanchard

• All providers in Marksville, LA
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.