Provider Demographics
NPI:1447593892
Name:ACADIANA INTERVENTION, LLC
Entity Type:Organization
Organization Name:ACADIANA INTERVENTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, CCS
Authorized Official - Phone:337-230-0318
Mailing Address - Street 1:143 RIDGEWAY DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3414
Mailing Address - Country:US
Mailing Address - Phone:337-230-0318
Mailing Address - Fax:
Practice Address - Street 1:143 RIDGEWAY DR
Practice Address - Street 2:SUITE 111
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3414
Practice Address - Country:US
Practice Address - Phone:337-230-0318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health