Provider Demographics
NPI:1659677391
Name:ROBELOT & LEBOURGEOIS LLC
Entity Type:Organization
Organization Name:ROBELOT & LEBOURGEOIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:ROBELOT
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-603-3135
Mailing Address - Street 1:1056 E WORTHY ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-4369
Mailing Address - Country:US
Mailing Address - Phone:225-603-3135
Mailing Address - Fax:
Practice Address - Street 1:1056 E WORTHY ST
Practice Address - Street 2:SUITE E
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4369
Practice Address - Country:US
Practice Address - Phone:225-603-3135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3422251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health