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
—
—
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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