Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Parent organization
DEPARTMENT OF HEALTH AND HOPSITALS
Other names
New Iberia Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF HEALTH AND HOPSITALS
Authorized official
MR. YANCEY MIRE LPC (BEHAVIORAL HEALTH MANAGER)
(337) 373-0002
Entity
Organization
Contact information
Practice address
611 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-0000
(337) 373-0002
(337) 373-0129
Mailing address
611 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-0000
(337) 373-0002
(337) 373-0129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
292
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
134
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083760003
—
LA
05
—
1710661
—
LA
Enumeration date
01/25/2007
Last updated
10/01/2013
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