Provider Demographics
NPI:1710244231
Name:DEVILLIER, JOSEPH CLAUDE (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CLAUDE
Last Name:DEVILLIER
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 WILLIE YOUNG RD
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-7909
Mailing Address - Country:US
Mailing Address - Phone:337-580-3870
Mailing Address - Fax:
Practice Address - Street 1:497 WILLIE YOUNG RD
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-7909
Practice Address - Country:US
Practice Address - Phone:337-580-3870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA92731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical