MARY ELISE TRAHAN (NPI# 1356900013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356900013 |
| Entity Type | Individual |
| Full Name | MARY ELISE TRAHAN |
| Credential | LAC |
| Practice Address |
501 W Saint Mary Blvd Ste 210 Lafayette LA 70506-4699 |
| Mailing Address |
Po Box 53388 Lafayette LA 70505-3388 |
| Practice Telephone | 3372331114 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE - LICENSED ADDICTION COUNSELOR | 1582 | 01 |
| Street Address |
501 W SAINT MARY BLVD STE 210 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497313670 | Lake Professionals LLC | General Practice | 501 W Saint Mary Blvd Ste 210, Lafayette, LA 70506-4699 | 2019-06-03 |
| 1306405071 | Jennifer Rush | Counselor | 501 W Saint Mary Blvd Ste 210, Lafayette, LA 70506-4699 | 2019-06-06 |
| 1164081832 | Merril Thibodeaux | Counselor | 501 W Saint Mary Blvd Ste 210, Lafayette, LA 70506-4699 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| 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.