1750185179 NPI number — MEAGAN CANDIOTTO POSSOIT

Table of content: (NPI 1750185179)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750185179 NPI number — MEAGAN CANDIOTTO POSSOIT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEAGAN CANDIOTTO POSSOIT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1750185179
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
902 CM FAGAN DR
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
HAMMOND
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70403-6043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-507-3169
Provider Business Mailing Address Fax Number:
985-251-2251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
902 CM FAGAN DR
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
HAMMOND
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70403-6043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-507-3169
Provider Business Practice Location Address Fax Number:
985-251-2251
Provider Enumeration Date:
04/03/2025

Additional Information

Authorized Official

Authorized Official Last Name:
POSSOIT
Authorized Official First Name:
MEAGAN
Authorized Official Middle Name:
C
Authorized Official Title or Position:
LPC OWNER
Authorized Official Telephone Number:
985-507-3169

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com