Epiphany Therapeutic Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EPIPHANY THERAPEUTIC SERVICES, LLC

Practice address

2080 Highway 1
Raceland, LA 70394-3637

Phone

(985) 226-5677

NPI assigned

Mar 11, 2011

Organization subpart

No

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

Authorized official

Name

Stacey Guidry, LPCNPI 1801194014

Title

Owner

Phone

(985) 226-5677

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stacey Guidry, LPC

  • Professional Counselor
  • Raceland, LA
  • NPI 1801194014
  NPD (past) Authorized official

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1982902193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703943637",
            "telephone_number": "985-226-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703943637",
            "telephone_number": "985-226-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-226-5677",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Dupre
• Gary Dupree Jr.
• Michael Dupree, RPSS
• Ellen Nguyen OD LLC
• Marci Dill Ellender
• Don A Falgout, CRNA
• Charles Henry Faucheux, MD
• Edward C. Faust, LCSW
• Anita Fazzio, PMHNP-BC
• Christy Jo Folks, MS CCC SLP

• All providers in Raceland, LA
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.