MR. BREALON MICHAEL LIRETTE


Address: 5599 Highway 311, Houma, LA 70360-2866
Phone: 9858573615

MR. BREALON MICHAEL LIRETTE (NPI# 1710400833) 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) 1710400833
Entity Type Individual
Full Name MR. BREALON MICHAEL LIRETTE
Other Name MR. BREALON MICHAEL LIRETTE
Credential PMHNP
Practice Address 5599 Highway 311
Houma
LA 70360-2866
Mailing Address 242 Woodwind Dr
Houma
LA 70360-3996
Practice Telephone 9858573615
Enumeration Date 2017-07-20
Last Update Date 2017-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP09510 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5599 HIGHWAY 311
City HOUMA
State LA
Zip Code 70360-2866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134129414 Department of Health and Hospitals Clinic/Center 5599 Highway 311, Houma, LA 70360 2005-07-28
1134732936 Brooke Landry Counselor 5599 Highway 311, Houma, LA 70360-2866 2020-08-31
1023621976 Adam Chauvin Peer Specialist 5599 Highway 311, Houma, LA 70360-2866 2020-08-28
1326609462 Sparky Joel Trahan Peer Specialist 5599 Highway 311, Houma, LA 70360-2866 2019-06-27
1336606599 Brett B Guidry Social Worker 5599 Highway 311, Houma, LA 70360-2866 2019-02-25
1447788666 Amy Lynn Devincent Counselor 5599 Highway 311, Houma, LA 70360-2866 2017-06-01
1811372527 South Central Louisiana Human Clinic/Center 5599 Highway 311, Houma, LA 70360-2866 2015-07-23
1568842045 Dana Lynn George Social Worker 5599 Highway 311, Houma, LA 70360-2866 2015-06-01
1992109581 Ayesha Hester Counselor 5599 Highway 311, Houma, LA 70360-2866 2014-10-10
1417370297 Melicia Dupaquier Counselor 5599 Highway 311, Houma, LA 70360-2866 2014-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699382697 Start Corporation Clinic/Center 106 School Street, Houma, LA 70360 2020-09-24
1013474196 Christi Thibodeaux Rodrigue Case Manager/Care Coordinator 427west Tunnel Blvd, Houma, LA 70360 2019-02-26
1053801415 Louisiana Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1420 Saint Charles St, Houma, LA 70360 2018-05-11
1447780044 Shakira Harding Counselor 148 Columbus Street, Houma, LA 70360 2017-06-15
1639608995 Rakitha Monique Volter-jones Counselor 6522 West Main Street, Houma, LA 70360 2017-06-08
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1528417045 Mandi Gaubert Bonvillain Psychologist 1018 Verrett Street, Houma, LA 70360 2016-06-06
1295182434 Kerry M Guidry Chiropractor 6902 West Main Street, Houma, LA 70360 2016-05-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790162626 Amanda Eymard Nurse Practitioner 5599 La-311, Houma, LA 70360 2015-04-29
1376861278 Helena L Richard Nurse Practitioner 307 Jefferson Dr, Houma, LA 70360-6115 2010-05-17
1144877978 Harry Brown Jr. Nurse Practitioner 235 Civic Center Blvd, Houma, LA 70360-5937 2019-08-26
1700323540 Richard Bergeron II Nurse Practitioner 1014 W Tunnel Blvd, Houma, LA 70360-4050 2017-01-31
1992154900 Robbin Mulina Nurse Practitioner 521 Legion Ave, Houma, LA 70364-3339 2016-06-09
1518252337 Beneficence Psychiatric and Mental Health Services, LLC Nurse Practitioner 307 Jefferson Dr, Houma, LA 70360-6115 2011-06-09
1134160815 Timothy J Pellegrin Nurse Practitioner 1014 W Tunnel Blvd, Houma, LA 70360-4050 2006-06-10

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NPI Name Taxonomy Address Enumeration
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1376169979 Nancy Ariwodo Nurse Practitioner 225 Rue La France, Lafayette, LA 70508-1565 2020-06-19
1578183208 Donald Glyn Gardner II Nurse Practitioner 324 Blue Fox Cir, Haughton, LA 71037-7707 2020-04-22
1629604129 Raelyn Marie Plauche Nurse Practitioner 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 2020-03-16
1962035964 Tyler Trenton Wansley Nurse Practitioner 23515 Us-190, Mandeville, LA 70448 2020-02-18
1114558715 Danielle J Threatts Aprn LLC Nurse Practitioner 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 2020-02-01
1992359848 Harold G Frizzell Psychiatric Services LLC Nurse Practitioner 300 Thompson Loop, Lafayette, LA 70506-2820 2019-07-29
1598227779 Candyce Brown Nurse Practitioner 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 2019-04-04
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Competitor

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City HOUMA
Zip Code 70360

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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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