# ACADIA FAMILY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACADIA FAMILY CLINIC RHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174710685
- **Authorized official:** GINA L MILLER N.P. (NURSE PRACTIONER/OWNER)
- **Authorized official phone:** (337) 788-1081

## Contact information

- **Practice address:** 1325 WRIGHT AVE, SUITE E, CROWLEY, LA 70526-2226
- **Practice address phone:** (337) 788-1081
- **Practice address fax:** (337) 788-1083
- **Mailing address:** 1325 WRIGHT AVE, SUITE E, CROWLEY, LA 70526-2226
- **Mailing address phone:** (337) 788-1081
- **Mailing address fax:** (337) 788-1083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 133 | LA | Yes |
| 363LF0000X | Family Nurse Practitioner | 0390699-22 | LA | — |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 01/03/2017