CHARLES STEWART BROUSSARD (NPI# 1073969218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073969218 |
| Entity Type | Individual |
| Full Name | CHARLES STEWART BROUSSARD |
| Credential | LAC |
| Practice Address |
2020 W Pinhook Rd Suite 402 Lafayette LA 70508-3290 |
| Practice Telephone | 3377816467 |
| Mailing Telephone | 3377816467 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
104 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598872558 | Charles Henry Broussard | Dentist | 1255 Belleview St, Morgan City, LA 70380-5351 | 2006-08-24 |
| Street Address |
2020 W PINHOOK RD SUITE 402 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053356196 | Clinton Young, M.d., Apmc | Internal Medicine | 2020 W Pinhook Rd, Ste 506, Lafayette, LA 70508-3290 | 2006-06-20 |
| 1306387378 | Integrative Behavioral Health Partners, LLC | Counselor | 2020 W Pinhook Rd, Suite 402, Lafayette, LA 70508-3290 | 2017-03-10 |
| 1841649811 | Clearstart LLC | Community/Behavioral Health | 2020 W Pinhook Rd, Suite 402, Lafayette, LA 70508-3290 | 2016-06-09 |
| 1609223213 | April Micheau | Social Worker | 2020 W Pinhook Rd, Suite 402, Lafayette, LA 70508-3290 | 2016-05-24 |
| 1912351362 | Dwayne Abshire | Counselor | 2020 W Pinhook Rd, Suite 404, Lafayette, LA 70508-3290 | 2016-04-21 |
| 1215084132 | Naomi Laborde Friedberg | Psychologist | 2020 W Pinhook Rd, Ste 304, Lafayette, LA 70508-3212 | 2007-01-04 |
| 1740294727 | Louisiana Sleep Diagnostics | Clinic/Center | 2020 W Pinhook Rd, Lafayette, LA 70508-3290 | 2006-07-28 |
| 1811901366 | Louisiana Sleep Diagnostics LLC | Clinical Medical Laboratory | 2020 W Pinhook Rd, Suite 303, Lafayette, LA 70508-3290 | 2006-07-28 |
| 1346277449 | Clinton Young | Internal Medicine | 2020 W Pinhook Rd, Suite 506, Lafayette, LA 70508-3290 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316509730 | Ronald James Viguerie | Counselor | 111 Rue Jean Lafitte Ste 107, Lafayette, LA 70508-3141 | 2019-07-05 |
| 1437713906 | Christina L Piker | Counselor | 1455 Dixon Ave Ste 140, Lafayette, CO 80026-8880 | 2019-04-30 |
| 1790257269 | William R Richard | Counselor | 2020 W Pinhook Rd Ste 504, Lafayette, LA 70508-3212 | 2018-12-21 |
| 1992292635 | Patty Hines | Counselor | 501 W Saint Mary Blvd Ste 414, Lafayette, LA 70506-4600 | 2018-04-18 |
| 1235649559 | The Right Move LLC | Counselor | 3110 W Pinhook Rd Ste 102, Lafayette, LA 70508-3453 | 2017-10-02 |
| 1508302324 | D'aunoy & D'aunoy Counseling & Life Coaching Services | Counselor | 101 Teurlings Dr, Lafayette, LA 70501-3832 | 2017-01-18 |
| 1861946444 | Embracing Choices for Better Living, LLC | Counselor | 1615 Long Bow Ct, Lafayette, CO 80026-1916 | 2016-08-11 |
| 1124478433 | Mark Tucker | Counselor | 2020 W Pinhook Rd Ste 402, Lafayette, LA 70508-3212 | 2016-06-16 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1104255538 | Timothy Allport | Counselor | 100 East South Boulder Road, Suite 105, Lafayette, CO 80026 | 2013-11-06 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.