Provider Demographics
NPI:1285766311
Name:ARCEMENT, PEGGY S (MS, MA, LDN, RD,LPC)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:S
Last Name:ARCEMENT
Suffix:
Gender:F
Credentials:MS, MA, LDN, RD,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18513 N LAKE SHADOW DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-8933
Mailing Address - Country:US
Mailing Address - Phone:225-751-1345
Mailing Address - Fax:225-751-1343
Practice Address - Street 1:763 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-5725
Practice Address - Country:US
Practice Address - Phone:225-387-2287
Practice Address - Fax:225-383-2722
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA75133N00000X
LA3750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No133N00000XDietary & Nutritional Service ProvidersNutritionist