Provider Demographics
NPI: | 1689834194 |
---|---|
Name: | SEIDL & ASSOCIATES INC |
Entity type: | Organization |
Organization Name: | SEIDL & ASSOCIATES INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF NURSING |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | MARGARET |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SEIDL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 337-856-1964 |
Mailing Address - Street 1: | PO BOX 23 |
Mailing Address - Street 2: | |
Mailing Address - City: | YOUNGSVILLE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70592-0023 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 337-856-1964 |
Mailing Address - Fax: | 337-856-5272 |
Practice Address - Street 1: | 101 GUILLOT RD |
Practice Address - Street 2: | |
Practice Address - City: | YOUNGSVILLE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70592-5832 |
Practice Address - Country: | US |
Practice Address - Phone: | 337-856-1964 |
Practice Address - Fax: | 337-856-5272 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-06-10 |
Last Update Date: | 2018-06-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
101Y00000X, 101YM0800X, 2251N0400X, 225X00000X, 235Z00000X | ||
LA | 00003130 | 101YP2500X |
LA | 965 | 103T00000X, 103TC0700X, 103TP2701X, 103TR0400X |
MA | 965 | 103TB0200X |
LA | BR0006630 | 320700000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | ||
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
No | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation | Group - Multi-Specialty |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
LA | ========= | Other | TAX I.D. |