CLC BEHAVIORAL LLC (NPI# 1164973319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164973319 |
| Entity Type | Organization |
| Organization Name | CLC BEHAVIORAL LLC |
| Practice Address |
800 Kaliste Saloom Rd Lafayette LA 70508-4210 |
| Mailing Address |
Po Box 82281 Lafayette LA 70598-2281 |
| Practice Telephone | 3372332400 |
| Practice Fax Number | 3372323656 |
| Mailing Telephone | 3372332400 |
| Mailing Fax Number | 3372323656 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | DR. CLAUDIA CUERVO (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3372332400 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
303784 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
800 KALISTE SALOOM RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750345559 | Samir A Salama | Psychiatry & Neurology | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2006-04-17 |
| 1538556295 | Kmh Psychiatry LLC | Nurse Practitioner | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2015-04-21 |
| 1023354883 | Behavioral Health Options LLC | Nurse Practitioner | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2012-12-26 |
| 1730431297 | Rebecca B Theriot | Nurse Practitioner | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2012-10-09 |
| 1184988958 | Claudia Cuervo | Psychiatry & Neurology | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2012-06-27 |
| 1457622144 | Catherine H Y A Mcdonald, M.d., A Professional Medical Corporation | Psychiatry & Neurology | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2012-01-26 |
| 1639459266 | Lacey Marie Keenze | Social Worker | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2011-08-26 |
| 1124346218 | Kathryn Hebert | Nurse Practitioner | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2010-05-13 |
| 1396978862 | Kerri Louise Cunningham | Counselor | 800 Kaliste Saloom Rd, Suite 112, Lafayette, LA 70508-4210 | 2009-08-31 |
| 1508003518 | Cpam Healthcare LLC | Clinic/Center | 800 Kaliste Saloom Rd, Lafayette, LA 70508-4210 | 2009-01-13 |
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| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893043 | Tms of Louisiana | Psychiatry & Neurology | 626 Verot School Rd Ste F, Lafayette, LA 70508-5094 | 2020-02-13 |
| 1386276996 | Meredith Mealer | Psychiatry & Neurology | 808 S Public Rd Ste 102, Lafayette, CO 80026-2194 | 2020-02-11 |
| 1235772492 | C Guedry LLC | Psychiatry & Neurology | 215 Bay Meadow Ln, Lafayette, LA 70507-2757 | 2019-10-21 |
| 1932498284 | Karen Marie George | Psychiatry & Neurology | 2520 North University Avenue, Lafayette, LA 70507-5306 | 2011-04-06 |
| 1548401516 | Ashley Jade Albarado | Psychiatry & Neurology | 3312 Kaliste Saloom Rd, Lafayette, LA 70508-7449 | 2009-03-20 |
| 1215119912 | Winston Irving Levy | Psychiatry & Neurology | 403 Huntley Avenue, Lafayette, LA 70508 | 2007-12-04 |
| 1003006701 | Dragoslav Gvozdjan | Psychiatry & Neurology | 415 N 26th St Ste 103, Lafayette, IN 47904-2855 | 2007-07-28 |
| 1356464283 | Scott Dorian Mayers | Psychiatry & Neurology | 216 Saint Landry St, Lafayette, LA 70506-3534 | 2007-04-07 |
| 1285711770 | Joni L Orazio | Psychiatry & Neurology | 119 Rue Fontaine, Lafayette, LA 70508 | 2006-11-01 |
| 1326123415 | Edgardo R Concepcion | Psychiatry & Neurology | 1131 Rue Du Belier, Lafayette, LA 70506 | 2006-10-26 |
| 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.