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Organization
REBEKAH YOUNG HOTARD PMHNP LLC
Active
Organization
REBEKAH YOUNG HOTARD PMHNP LLC
Active
Other names
Avery Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH YOUNG HOTARD (PMHNP)
(337) 889-3682
Entity
Organization
Contact information
Practice address
215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 889-3682
Mailing address
4400 AMBASSADOR CAFFERY PKWY STE A, PMB 165, LAFAYETTE, LA 70508-6760
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538924774
NPI 1
—
Enumeration date
07/18/2024
Last updated
07/18/2024
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