SARAH L BOULAC (NPI# 1689804114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689804114 |
| Entity Type | Individual |
| Full Name | SARAH L BOULAC |
| Credential | MA |
| Practice Address |
615 N 18th St Ste 101 Lafayette IN 47904-3413 |
| Practice Telephone | 7654235361 |
| Practice Fax Number | 7654478411 |
| Mailing Telephone | 7654235361 |
| Mailing Fax Number | 7654478411 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39003518A | IN | Behavioral Health & Social Service Providers |
| Street Address |
615 N 18TH ST STE 101 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184110603 | Zachary Ray Doscher | Counselor | 615 N 18th St Ste 101, Lafayette, IN 47904-3413 | 2018-07-09 |
| 1861938862 | Kayla Carlson | Social Worker | 615 N 18th St Ste 101, Lafayette, IN 47904-3413 | 2017-01-13 |
| 1609244011 | Kathryn N. Grieser | Counselor | 615 N 18th St Ste 101, Lafayette, IN 47904-3413 | 2015-09-02 |
| 1740685379 | Marya Suzanne Makowski | Social Worker | 615 N 18th St Ste 101, Lafayette, IN 47904-3413 | 2014-10-24 |
| 1669740171 | Heather Spiering | Counselor | 615 N 18th St Ste 101, Lafayette, IN 47904-3413 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101293 | Dawn Deano | Counselor | 400 E Simpson St Ste 108, Lafayette, CO 80026-2359 | 2020-10-09 |
| 1689280174 | Amy Giles Arceneaux | Counselor | 850 Kaliste Saloom Rd Bldg Ste 204, Lafayette, LA 70508-4230 | 2020-09-20 |
| 1760095459 | Julie Giroir Galloway | Counselor | 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA 70508-6962 | 2020-08-24 |
| 1497381339 | Joshua Thompson O'connor | Counselor | 412 W University Ave Ste 203, Lafayette, LA 70506-3673 | 2020-03-22 |
| 1255963971 | Alisha Denise Harrell | Counselor | 2550 Days Rd, Lafayette, TN 37083-5078 | 2020-02-11 |
| 1821637075 | Adam David Harris | Counselor | 655 Aspen Ridge Dr, Lafayette, CO 80026-9341 | 2020-01-04 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1255981726 | Jason Delahoussaye | Counselor | 1223 Camellia Blvd Ste 201, Lafayette, LA 70508-7220 | 2019-09-17 |
| 1417518341 | Kristen Nicole Neville | Counselor | 143 Ridgeway Dr # 201, Lafayette, LA 70503-3414 | 2019-06-21 |
| 1528623980 | Jason Bailey | Counselor | 1921 Dulles Dr, Lafayette, LA 70506-2716 | 2019-05-01 |
| 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.