Individual provider · Type 1 NPI

Kaleb M. Thibodeaux, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Port Allen, LA

NPI number 1508664293 Active

Practice location

203 Allendale Dr
Port Allen, LA 70767-3219

Fax (225) 389-1330

Mailing address

PO Box 395
Clinton, LA 70722-0395

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X239936 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508664293

Kaleb M. Thibodeaux, PMHNP's National Provider Identifier is 1508664293, issued on Mar 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Allen, LA. The record was last updated on Mar 6, 2025.