Provider Demographics
NPI:1255805693
Name:AVENIR VENTURES LLC
Entity type:Organization
Organization Name:AVENIR VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER, REGULATORY REPORTING
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:LEMOINE
Authorized Official - Last Name:GUIDROZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-292-2031
Mailing Address - Street 1:3854 AMERICAN WAY STE A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4897
Mailing Address - Country:US
Mailing Address - Phone:225-292-2031
Mailing Address - Fax:225-295-9678
Practice Address - Street 1:2201 BOUNDARY ST STE 112
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-3879
Practice Address - Country:US
Practice Address - Phone:843-549-5166
Practice Address - Fax:843-549-5177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty