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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X LAY AgenciesCommunity/Behavioral Health 

No ID Information.


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