Search › Louisiana › 101Y00000X
Eric Thacker
NPI 1821527011 · on the registry since 2017
Practice
- Address
- 622 Riverside Dr
Monroe, LA 71201 - Phone
- (318) 398-0945
- Organisation at this address
- Southern Center For Children And Families, Inc.
Southern Center For Children And Families, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 127
Additional practice sites
- 10001 Lake Forest Blvd Ste 302, New Orleans, LA
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana