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
—
—
2084P0800X
Psychiatry Physician
—
—
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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