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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CLIFTON BOUDREAUX JR.
NPI 1194629592
Counselor - Pastoral in Baton Rouge, LA

Active since October 07, 2026
11616 SOUTHFORK AVE STE 403, BATON ROUGE, LA 70816(225) 261-7143 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Clifton Boudreaux Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFTON BOUDREAUX JR. (NPI 1194629592) is an individual pastoral provider in Baton Rouge, Louisiana, licensed in Texas (18655) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1194629592
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameCLIFTON BOUDREAUX JR.
Location Address11616 SOUTHFORK AVE STE 403Baton Rouge, LA 70816-5241
Mailing Address1206 Green Knoll DrSugar Land, TX 77479-6005 · (832) 628-1074
Phone(225) 261-7143
Sole ProprietorYes
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1194629592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License✔ Licensed in TX · 18655
11616 SOUTHFORK AVE STE 403, Baton Rouge, LA 70816
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA MICHELLE JOHNSON-TICKLES
Counselor
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (224) 261-7143
BRIANNA MARIE HUDSON
Counselor (Mental Health)
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 261-7143
LLOYD MATTHEW BLUAIN III PLPC
Case Manager/Care Coordinator
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 261-7143
TAMEIA OXLEY
Case Manager/Care Coordinator
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 916-3326
ADRIAN FRANKLIN ABUNDO CRISTOBAL
Case Manager/Care Coordinator
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (877) 418-2978
CANIESIA FATIMA DAGGS
Case Manager/Care Coordinator
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 261-7143
MS. SHARON MARIE ELLISON
Case Manager/Care Coordinator
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 261-7143
CAITLYN B WILSON MHS
Case Manager/Care Coordinator
11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 261-7143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifton Boudreaux's NPI number?

The NPI number for Clifton Boudreaux is 1194629592. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Where is Clifton Boudreaux located?

Clifton Boudreaux practices at 11616 Southfork Ave Ste 403, Baton Rouge, LA 70816. The listed phone number is (225) 261-7143.

What is Clifton Boudreaux's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Clifton Boudreaux was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.