Provider Demographics
NPI:1689033839
Name:LAFAYETTE PARISH SHERIFF'S OFFICE
Entity Type:Organization
Organization Name:LAFAYETTE PARISH SHERIFF'S OFFICE
Other - Org Name:ACADIANA RECOVERY CENTER OUTPATIENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREATMENT PROGRAMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT, LAC
Authorized Official - Phone:337-236-5446
Mailing Address - Street 1:401 W VERMILION ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-6729
Mailing Address - Country:US
Mailing Address - Phone:337-236-5446
Mailing Address - Fax:
Practice Address - Street 1:100 POYDRAS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-4740
Practice Address - Country:US
Practice Address - Phone:337-231-6365
Practice Address - Fax:337-456-6248
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAFAYETTE PARISH SHERIFF'S OFFICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-16
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health