| NPI | 1891947479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GAUDET Mgr Sulphur Outpatient Clinic 337-527-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP 05359) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1055) |
| 1041C0700X Social Worker, Clinical (Licence: LA 8971) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 021615) | |
| 208D00000X General Practice (Licence: LA 014484R) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |