NPI 1013480276

Mia Nicole Foret

Practitioner Case Manager/Care Coordinator Thibodaux, LA

Practice location

Address: 1418 Tiger Dr, Thibodaux, LA 70301-4337
Phone: (985) 449-4055
Fax: (985) 449-4178

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1013480276
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2019
Record last updated: 23 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.