Provider Demographics
NPI:1578782025
Name:ACI HEARING AND BALANCE CENTER, INC.
Entity Type:Organization
Organization Name:ACI HEARING AND BALANCE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:337-235-6601
Mailing Address - Street 1:103 SAINT THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4554
Mailing Address - Country:US
Mailing Address - Phone:337-235-6601
Mailing Address - Fax:337-232-0772
Practice Address - Street 1:103 SAINT THOMAS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4554
Practice Address - Country:US
Practice Address - Phone:337-235-6601
Practice Address - Fax:337-232-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3573261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech