THIBODAUX ADDICTIVE DISORDERS CLINIC (NPI# 1386912731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386912731 |
| Entity Type | Organization |
| Organization Name | THIBODAUX ADDICTIVE DISORDERS CLINIC |
| Practice Address |
303 Hickory St Thibodaux LA 70301-2011 |
| Practice Telephone | 9854470851 |
| Mailing Telephone | 9854470851 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MRS. BERNADETTE FIELDS (CLINIC MANAGER) |
| Authorized Official Telephone | 9854470851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
303 HICKORY ST |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841215860 | Alice J Moore | Registered Nurse | 303 Hickory St, Thibodaux, LA 70301-2011 | 2006-07-12 |
| 1851917462 | Sonya Jones Adkins | Behavioral Analyst | 303 Hickory St, Thibodaux, LA 70301-2011 | 2020-06-19 |
| 1588299341 | Leah Hood | Peer Specialist | 303 Hickory St, Thibodaux, LA 70301-2011 | 2020-03-11 |
| 1497386940 | Lydia Mittie Roberts | Social Worker | 303 Hickory St, Thibodaux, LA 70301-2011 | 2020-02-03 |
| 1720622137 | Sierra V Dennis | Case Manager/Care Coordinator | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-30 |
| 1043854524 | Jessica Marie Daniels | Counselor | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-29 |
| 1275176737 | Rebecca Robichaux | Registered Nurse | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-28 |
| 1215579438 | Myeaka Rousseau | Counselor | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-10-09 |
| 1104477728 | Lydia Smith | Licensed Practical Nurse | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-09-25 |
| 1679139620 | Jeffrey Myers | Counselor | 303 Hickory St, Thibodaux, LA 70301-2011 | 2019-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134639057 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 614 Magnolia St, Thibodaux, LA 70301-2126 | 2017-10-05 |
| 1801260914 | Bayou Oaks Health Ervices | Community/Behavioral Health | 142 Laura Dr Ste B, Thibodaux, LA 70301-2988 | 2015-11-30 |
| 1932663267 | Annie Billiot Counseling LLC | Community/Behavioral Health | 506 Supercharge Dr, Thibodaux, LA 70301-6143 | 2019-01-31 |
| 1295246585 | Merakey Pennsylvania | Community/Behavioral Health | 303 Hickory St, Thibodaux, LA 70301-2011 | 2017-10-13 |
| 1063922979 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 2435 Highway 308, Thibodaux, LA 70301-5839 | 2017-10-05 |
| 1407366321 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 1200 Jefferson St, Thibodaux, LA 70301-2238 | 2017-10-05 |
| 1376053371 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 602 Fairway Dr, Thibodaux, LA 70301-3726 | 2017-10-04 |
| 1366626053 | Bayou Oaks Health Services, LLC | Community/Behavioral Health | 824 Ridgefield Rd, Thibodaux, LA 70301-2726 | 2007-12-18 |
| 1508982455 | Magnolia Family Services LLC | Community/Behavioral Health | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798826 | Shawna Janell Williams | Community/Behavioral Health | 3213 Moss Ln, Violet, LA 70092-3725 | 2020-10-20 |
| 1295333649 | Wanda Kaye's Heart | Community/Behavioral Health | 139b James Comeaux Rd # 563, Lafayette, LA 70508-3255 | 2020-10-16 |
| 1679180905 | Hope Springs Counseling Center, LLC | Community/Behavioral Health | 3800 Viking Dr, Bossier City, LA 71111-7403 | 2020-09-30 |
| 1841807930 | Prospec Coaching and Consulting, L3c | Community/Behavioral Health | 345 Prospect Rd, Florien, LA 71429-4615 | 2020-09-23 |
| 1417563370 | Southern Louisiana Behavior Consultants LLC | Community/Behavioral Health | 100 Harton Rd, Youngsville, LA 70592-6386 | 2020-09-16 |
| 1700491420 | The Kidz Coalition | Community/Behavioral Health | 3832 Jamie Lynn Dr, Marrero, LA 70072-6006 | 2020-09-10 |
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1457961872 | Robin's Sanctuary for Psychological Wellness | Community/Behavioral Health | 309 Goode St Ste 2c-2, Houma, LA 70360-4562 | 2020-08-01 |
| 1992314082 | Brighter Perspectives Behavioral Services | Community/Behavioral Health | 4942 Gawain Dr, New Orleans, LA 70127-3224 | 2020-07-24 |
| 1619585122 | Cf Counseling & Consulting, LLC | Community/Behavioral Health | 1500 N 19th St, Monroe, LA 71201-4942 | 2020-07-21 |
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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.