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PHOENIX PROVIDER SERVICES LLC
NPI 1942672720
Nurse Practitioner - Psychiatric/Mental Health in Lafayette, LA

Active since October 20, 2015
1509 DULLES DR, LAFAYETTE, LA 70506(337) 991-9276(337) 991-9288 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Provider Services Llc NPPES

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

PHOENIX PROVIDER SERVICES LLC (NPI 1942672720) is a healthcare organization registered as a psychiatric/mental health in Lafayette, Louisiana and active in the NPI registry since October 2015. The organization lists Nicole Howard, Manager, as its authorized official.

NPPES Registry Identity

NPI1942672720
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX PROVIDER SERVICES LLC
Location Address1509 DULLES DRLafayette, LA 70506-3718
Mailing Address1509 Dulles DrLafayette, LA 70506-3718 · (337) 991-9276 · Fax (337) 991-9288
Phone(337) 991-9276
Fax(337) 991-9288
Organization SubpartNo
Authorized OfficialNicole HowardManager · (337) 991-9276
Enumeration DateOctober 20, 2015
Last NPPES UpdateNovember 5, 2015
✔ NPI 1942672720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse PractitionerTaxonomy 363L00000X
1509 DULLES DR, Lafayette, LA 70506
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

VIRGINIA L SHELTON FNP
Nurse Practitioner (Family)
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 408-0797
ROBERT EMON RICHARDSON NP
Nurse Practitioner (Family)
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 991-9276
DELAINE GOLSON NP
Nurse Practitioner (Adult Health)
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 991-9276
JAMIE F ROBINSON
Nurse Practitioner (Adult Health)
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 991-9276
MRS. ADRIONA LUCRETIA TAYLOR ANP-C
Nurse Practitioner (Adult Health)
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 991-9276
BONNIE J DUPRE NP
Nurse Practitioner
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 550-1213
LINDA K ALLEN
Nurse Practitioner
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 991-9276
MRS. ALICIA PRATT MITCHELL FNP
Nurse Practitioner (Family)
1509 DULLES DR
LAFAYETTE, LA 70506
Lafayette Parish (337) 991-9276

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 Phoenix Provider Services LLC's NPI number?

The NPI number for Phoenix Provider Services LLC is 1942672720. It was assigned to this organization in the NPPES registry on October 20, 2015.

Where is Phoenix Provider Services LLC located?

Phoenix Provider Services LLC is located at 1509 Dulles Dr, Lafayette, LA 70506. The listed phone number is (337) 991-9276.

What is Phoenix Provider Services LLC'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 Phoenix Provider Services LLC was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.