CRYSTAL LEE BREAUX (NPI# 1770048902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770048902 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEE BREAUX |
| Credential | B.S.; CIT |
| Practice Address |
401 W Vermilion St Lafayette LA 70501-6729 |
| Practice Telephone | 3373456120 |
| Practice Fax Number | 3375241419 |
| Mailing Telephone | 3373456120 |
| Mailing Fax Number | 3375241419 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| 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) |
4130 | LA | Behavioral Health & Social Service Providers |
| Street Address |
401 W VERMILION ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-6729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023459559 | Acadiana Recovery and Rehab Center | Community/Behavioral Health | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2013-07-12 |
| 1265039796 | Riki Lee Prejean | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2020-10-07 |
| 1265039705 | Tessa Hebert | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2020-10-07 |
| 1033720693 | Brooke Meaux | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2020-08-16 |
| 1750902680 | Walter Paul Lessin IIi | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2020-05-01 |
| 1033730494 | Gary Liebert Jr. | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2020-04-27 |
| 1831657790 | Shanoa Lashae Evans | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2019-03-08 |
| 1114482353 | Amanda Caroline Hale | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2019-02-01 |
| 1750846911 | Brett Michael Thibodeaux | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2019-02-01 |
| 1912462169 | Leatha Kay Anatole | Counselor | 401 W Vermilion St, Lafayette, LA 70501-6729 | 2019-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| 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.