# HEATHER DUPLECHAIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073114203
- **Authorized official:** AYLIE GRAY (OFFICE MANAGER)
- **Authorized official phone:** (337) 458-8569

## Contact information

- **Practice address:** 913 ALFRED ST, SCOTT, LA 70583-5117
- **Practice address phone:** (337) 458-8569
- **Practice address fax:** (337) 504-2871
- **Mailing address:** 913 ALFRED ST, SCOTT, LA 70583-5117
- **Mailing address phone:** (337) 458-8569
- **Mailing address fax:** (337) 504-2871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 11/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2480049 | — | LA |
