Provider Demographics
NPI:1982475539
Name:ARCENEAUX, MATTHEWS (LPN)
Entity Type:Individual
Prefix:
First Name:MATTHEWS
Middle Name:
Last Name:ARCENEAUX
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 LOUISIANA AVE
Mailing Address - Street 2:24
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-1371
Mailing Address - Country:US
Mailing Address - Phone:337-347-0390
Mailing Address - Fax:
Practice Address - Street 1:2830 LOUISIANA AVE
Practice Address - Street 2:24
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-1371
Practice Address - Country:US
Practice Address - Phone:337-347-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator