# REBEKAH YOUNG HOTARD PMHNP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avery Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396583811
- **Authorized official:** REBEKAH YOUNG HOTARD (PMHNP)
- **Authorized official phone:** (337) 889-3682

## Contact information

- **Practice address:** 215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
- **Practice address phone:** (337) 889-3682
- **Mailing address:** 4400 AMBASSADOR CAFFERY PKWY STE A, PMB 165, LAFAYETTE, LA 70508-6760

## 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:** 07/18/2024
- **Last updated:** 07/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1538924774 | NPI 1 | — |