PAMELA THIBEAUX


Address: 125 Duperier Ave, New Iberia, LA 70563
Phone: 3374193586

PAMELA THIBEAUX (NPI# 1497285399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497285399
Entity Type Individual
Full Name PAMELA THIBEAUX
Practice Address 125 Duperier Ave
New Iberia
LA 70563
Mailing Address 175 Duperier Ave
New Iberia
LA 70563-2415
Practice Telephone 3374193586
Mailing Telephone 3374193586
Enumeration Date 2017-06-14
Last Update Date 2019-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6985 LA Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 125 DUPERIER AVE
City NEW IBERIA
State LA
Zip Code 70563

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1134253768 Mark Steve Derouen Dentist 2301 Old Jeanerette Road, New Iberia, LA 70563 2007-03-15
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1730274200 Michael Cotugno Emergency Medicine 600 N. Lewis Ave., New Iberia, LA 70563 2006-10-03
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982195467 Tyler Olivier Counselor 1519 Anderson St, New Iberia, LA 70560-5105 2018-05-21
1013305473 Camille Jarrell Counselor 512 Allen St, New Iberia, LA 70563-1802 2015-01-07
1952526113 Scarlett Cain Vincent Counselor 112 Church Aly, New Iberia, LA 70560-3709 2007-04-14
1205201811 Vontrell Wilson Counselor 801 S Lewis St, New Iberia, LA 70560-4882 2015-12-08
1043629165 Dana Judice LLC Counselor 411 Weeks St, New Iberia, LA 70560-4551 2014-08-04
1952521072 Steven James Hargrave Counselor 203 West Main Street, Suite 101, New Iberia, LA 70560 2007-04-30

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1912519083 Tashara D Williams Counselor 3615 Crestview Cir, Shreveport, LA 71119-6522 2020-08-20
1649881020 Grey Matter Concepts,inc. Counselor 5514 Music St., New Orleans, LA 70122 2020-08-11
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1700495538 Michelle Waguespack Counselor 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 2020-07-28
1093323214 Scott Moran Counselor 902 C M Fagan Dr Ste F, Hammond, LA 70403-6043 2020-07-14
1700404175 Gerard Williams Counselor 2621 Long Branch Dr, Marrero, LA 70072-5854 2020-07-11
1356966899 Carey Bergeron Counselor 9721 Paula Dr, River Ridge, LA 70123-1915 2020-06-10
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Competitor

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City NEW IBERIA
Zip Code 70563

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Dataset Information

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.

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