Provider Demographics
NPI:1548424807
Name:HEALTHE, L.L.C.
Entity Type:Organization
Organization Name:HEALTHE, L.L.C.
Other - Org Name:HEALTHE HABITS FOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:337-261-9188
Mailing Address - Street 1:101 LA RUE FRANCE STE 304
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3138
Mailing Address - Country:US
Mailing Address - Phone:337-261-9188
Mailing Address - Fax:337-261-9523
Practice Address - Street 1:101 LA RUE FRANCE STE 304
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3138
Practice Address - Country:US
Practice Address - Phone:337-261-9188
Practice Address - Fax:337-261-9523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z11784225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAI1255OtherBLUE CROSS BLUE SHIELD