Provider Demographics
NPI:1659623098
Name:TMS OF ACADIANA LLC
Entity Type:Organization
Organization Name:TMS OF ACADIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BAUDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:337-234-1499
Mailing Address - Street 1:PO BOX 81726
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70598-1726
Mailing Address - Country:US
Mailing Address - Phone:337-234-1499
Mailing Address - Fax:337-265-5032
Practice Address - Street 1:325 KALISTE SALOOM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3877
Practice Address - Country:US
Practice Address - Phone:337-234-1499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health