MR. MARK DECLOUET NP
NPI 1386925683
Nurse Practitioner - Psychiatric/Mental Health in Lafayette, LA

Active since August 31, 2011
315 AUDUBON BLVD, LAFAYETTE, LA 70503(337) 522-7573(337) 210-3058 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2020, Oct 16, 2020, Apr 25, 2018 and 2 more (5 updates tracked since 2016).

About Mr. Mark Declouet Np NPPES

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

MR. MARK DECLOUET NP (NPI 1386925683) is an individual psychiatric/mental health provider in Lafayette, Louisiana, licensed in Louisiana (AP08202) and active in the NPI registry since August 2011. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386925683
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MARK DECLOUETCredential: NP
Location Address315 AUDUBON BLVDLafayette, LA 70503-2610
Mailing AddressPo Box 53709Lafayette, LA 70505-3709 · (877) 294-7247 · Fax (337) 210-3058
Fax(337) 210-3058
Sole ProprietorYes
Enumeration DateAugust 31, 2011
Last NPPES UpdateDecember 29, 20205 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1386925683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in LA · AP08202
315 AUDUBON BLVD, Lafayette, LA 70503

Secondary Practice Locations 3

Location 1217 Brevard Ct Ste CAlexandria, LA 71303-3997 · Phone (318) 545-2451 · Fax (866) 990-8296
Location 25448 Provine Pl Ste AAlexandria, LA 71303-3983 · Phone (318) 545-2451 · Fax (866) 990-8296
Location 344 Versailles BlvdAlexandria, LA 71303-3960 · Phone (318) 445-5111

Other Identifiers 1

Medicaid2386158LA

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
315 AUDUBON BLVD
LAFAYETTE, LA 70503
Nurse Practitioner (Psychiatric/Mental Health)
315 AUDUBON BLVD
LAFAYETTE, LA 70503

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 Mark Declouet's NPI number?

The NPI number for Mark Declouet is 1386925683. It was assigned to this individual provider in the NPPES registry on August 31, 2011.

Where is Mark Declouet located?

Mark Declouet practices at 315 Audubon Blvd, Lafayette, LA 70503. The listed phone number is (337) 522-7573.

What is Mark Declouet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mark Declouet was last updated on December 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.