Provider Demographics
NPI:1760679559
Name:INCEPTIONS, LLC
Entity Type:Organization
Organization Name:INCEPTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, GSW
Authorized Official - Phone:985-232-8187
Mailing Address - Street 1:312 BOND ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-5612
Mailing Address - Country:US
Mailing Address - Phone:985-851-7887
Mailing Address - Fax:985-851-7889
Practice Address - Street 1:312 BOND ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-5612
Practice Address - Country:US
Practice Address - Phone:985-851-7887
Practice Address - Fax:985-851-7889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7100251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA7100Medicaid