1730248576 NPI number — REGINA ANN ROBICHAUX NCC, LPC, LMFT

Table of content: REGINA ANN ROBICHAUX NCC, LPC, LMFT (NPI 1730248576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730248576 NPI number — REGINA ANN ROBICHAUX NCC, LPC, LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBICHAUX
Provider First Name:
REGINA
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NCC, LPC, LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730248576
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2985 ROY FOREMAN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RAYNE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70578-2007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-739-8079
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
404 PERE MEGRET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABBEVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70510-4634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-892-9801
Provider Business Practice Location Address Fax Number:
337-892-9801
Provider Enumeration Date:
12/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  2170 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 106H00000X , with the licence number: 444 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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