DEMITRA POULLARD
NPI 1801323381
Counselor - Mental Health in Opelousas, LA
Active since May 16, 2017
About Demitra Poullard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEMITRA POULLARD (NPI 1801323381) is an individual mental health provider in Opelousas, Louisiana and active in the NPI registry since May 2017.
NPPES Registry Identity
NPI1801323381
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEMITRA POULLARD
Location Address1238 EDITH STOpelousas, LA 70570-5917
Mailing Address1238 Edith StOpelousas, LA 70570-5917 · (337) 942-9292
Phone(337) 942-9292
Fax(337) 942-9292
Sole ProprietorYes
Enumeration DateMay 16, 2017
✔ NPI 1801323381 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1238 EDITH ST, Opelousas, LA 70570
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801323381, enumerated as an "individual" on May 16, 2017.
The provider is located at 1238 EDITH ST OPELOUSAS, LA 70570 and the phone number is (337) 942-9292.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
