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Organization
ACADIANA PSYCHIATRIC SOLUTIONS LLC
Active
Organization
ACADIANA PSYCHIATRIC SOLUTIONS LLC
Active
Other names
AXIS Behavioral Health and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DECLOUET NP (OWNER/CEO/NURSE PRACTITIONER)
(337) 322-2471
Entity
Organization
Contact information
Practice address
217 BREVARD CT STE C, ALEXANDRIA, LA 71303-3997
(318) 545-2451
(866) 990-8296
Mailing address
PO BOX 53709, LAFAYETTE, LA 70505-3709
(337) 205-6445
(337) 735-9898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2543491
—
LA
Enumeration date
03/13/2015
Last updated
01/27/2022
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