| NPI | 1023354883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA THERIOT Owner/ Practitioner 337-212-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2020-08-20 |