Provider Demographics
NPI:1801261656
Name:BEAUBOUEF, CHALAYNE DEVILLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHALAYNE
Middle Name:DEVILLE
Last Name:BEAUBOUEF
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:331 BEAUBOUEF RD
Mailing Address - Street 2:
Mailing Address - City:DEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71328-9767
Mailing Address - Country:US
Mailing Address - Phone:318-664-9442
Mailing Address - Fax:318-466-8338
Practice Address - Street 1:715 HIGHWAY 1207
Practice Address - Street 2:
Practice Address - City:DEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71328-8505
Practice Address - Country:US
Practice Address - Phone:318-466-8335
Practice Address - Fax:318-466-8338
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA97721041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool