JEREMY WILSON THEODORE
NPI 1568959955
Counselor - Mental Health in Houma, LA

Active since April 20, 2018
1340 W TUNNEL BLVD STE 230, HOUMA, LA 70360(504) 314-1737 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Wilson Theodore NPPES

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

JEREMY WILSON THEODORE (NPI 1568959955) is an individual mental health provider in Houma, Louisiana and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1568959955
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY WILSON THEODORE
Location Address1340 W TUNNEL BLVD STE 230Houma, LA 70360-2811
Mailing Address1340 W Tunnel Blvd Ste 230Houma, LA 70360-2811 · (504) 314-1737
Sole ProprietorNo
Enumeration DateApril 20, 2018
NPI 1568959955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1340 W TUNNEL BLVD STE 230, Houma, LA 70360

Other Providers at the Same Location NPPES 20

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

Social Worker
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Community/Behavioral Health
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Case Manager/Care Coordinator
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360

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 Jeremy Theodore's NPI number?

The NPI number for Jeremy Theodore is 1568959955. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Jeremy Theodore located?

Jeremy Theodore practices at 1340 W Tunnel Blvd Ste 230, Houma, LA 70360. The listed phone number is (504) 314-1737.

What is Jeremy Theodore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremy Theodore was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.