| Organization Name: | DEPARTMENT OF HEALTH AND HOSPITALS |
| NPI Number: | 1083760003 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YANCEY MIRE (BEHAVIORAL HEALTH MANAGER) |
| Mailing Address: | 611 W Admiral Doyle Dr New Iberia |
| State: | LA US |
| Postal Code: | 705600000 |
| Phone Number: | 3373730002 |
| Fax Number: | 3373730129 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 292 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |