Provider Demographics
NPI:1265568034
Name:LOCAL PSYCH SERVICES, LLC
Entity type:Organization
Organization Name:LOCAL PSYCH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:DUGAS
Authorized Official - Last Name:LABICHE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:337-288-8877
Mailing Address - Street 1:PO BOX 1737
Mailing Address - Street 2:
Mailing Address - City:SCOTT
Mailing Address - State:LA
Mailing Address - Zip Code:70583-1737
Mailing Address - Country:US
Mailing Address - Phone:337-288-8877
Mailing Address - Fax:
Practice Address - Street 1:117 MARIE ST
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584-6100
Practice Address - Country:US
Practice Address - Phone:337-662-0004
Practice Address - Fax:337-643-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP0489363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CX32Medicare PIN