Basic Information
Provider Information | |||||||||
NPI: | 1578828851 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | 'YES I CAN, INC. | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 311MACARTHUR DR | ||||||||
Address2: |   | ||||||||
City: | SUNSET | ||||||||
State: | LA | ||||||||
PostalCode: | 70584 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3376623737 | ||||||||
FaxNumber: | 3376623636 | ||||||||
Practice Location | |||||||||
Address1: | 311 MACARTHUR DR | ||||||||
Address2: |   | ||||||||
City: | SUNSET | ||||||||
State: | LA | ||||||||
PostalCode: | 70584 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3376623737 | ||||||||
FaxNumber: | 3376623636 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/12/2012 | ||||||||
LastUpdateDate: | 11/02/2015 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | SAVOIE | ||||||||
AuthorizedOfficialFirstName: | J | ||||||||
AuthorizedOfficialMiddleName: | DWIGHT | ||||||||
AuthorizedOfficialTitleorPosition: | PRESIDENT/CEO | ||||||||
AuthorizedOfficialTelephone: | 3372804560 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | MR. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | M.ED | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X |   | LA | Y |   | Agencies | Community/Behavioral Health |   |
No ID Information.