Individual
PAIGE DECLOUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
218 RUE BEAUREGARD STE C, LAFAYETTE, LA 70508-3284
(337) 484-1415
(337) 484-1419
Mailing address
218 RUE BEAUREGARD STE C, LAFAYETTE, LA 70508-3284
(337) 484-1415
(337) 484-1419
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP208408
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275102790
DOING WELL PSYCHIATRIC SERVICES, LLC.
LA
Enumeration date
09/26/2019
Last updated
10/18/2023
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