# ACADIANA PSYCHIATRIC SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AXIS Behavioral Health and Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275926230
- **Authorized official:** MR. MARK DECLOUET NP (OWNER/CEO/NURSE PRACTITIONER)
- **Authorized official phone:** (337) 322-2471

## Contact information

- **Practice address:** 217 BREVARD CT STE C, ALEXANDRIA, LA 71303-3997
- **Practice address phone:** (318) 545-2451
- **Practice address fax:** (866) 990-8296
- **Mailing address:** PO BOX 53709, LAFAYETTE, LA 70505-3709
- **Mailing address phone:** (337) 205-6445
- **Mailing address fax:** (337) 735-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2015
- **Last updated:** 01/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2543491 | — | LA |