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SOUTHERN PSYCHIATRIC SERVICES LLC
NPI 1992467641
Nurse Practitioner - Psychiatric/Mental Health in Iowa, LA

Active since October 11, 2021
7490 BUCKSKIN DR, IOWA, LA 70647(337) 540-7436 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Oct 11, 2021 (2 updates tracked since 2021).

About Southern Psychiatric Services Llc NPPES

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

SOUTHERN PSYCHIATRIC SERVICES LLC (NPI 1992467641) is a healthcare organization registered as a psychiatric/mental health in Iowa, Louisiana and active in the NPI registry since October 2021. The organization lists Brennan Bergeron, Owner, as its authorized official.

NPPES Registry Identity

NPI1992467641
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHERN PSYCHIATRIC SERVICES LLC
Location Address7490 BUCKSKIN DRIowa, LA 70647-4429
Mailing Address2829 4th Ave Ste 150Lake Charles, LA 70601-7897
Phone(337) 540-7436
Organization SubpartNo
Authorized OfficialBrennan BergeronOwner · (337) 480-7800
Enumeration DateOctober 11, 2021
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1992467641 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
7490 BUCKSKIN DR, Iowa, LA 70647
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Other Identifiers 1

Medicaid12345LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Southern Psychiatric Services LLC's NPI number?

The NPI number for Southern Psychiatric Services LLC is 1992467641. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is Southern Psychiatric Services LLC located?

Southern Psychiatric Services LLC is located at 7490 Buckskin Dr, Iowa, LA 70647. The listed phone number is (337) 540-7436.

What is Southern Psychiatric 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 Southern Psychiatric Services LLC was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.