Julie Mouton, LCSW | |
113 W Convent St, Lafayette, LA 70501-6903 | |
(337) 457-3000 | |
(337) 457-3055 |
Full Name | Julie Mouton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 113 W Convent St, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104066141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8790 (Louisiana) | Primary |
1041C0700X | Social Worker - Clinical | 56189 (Texas) | Secondary |
Entity Name | Azalea Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043999170 PECOS PAC ID: 8628432028 Enrollment ID: O20230919002265 |
Mailing Address | Practice Location Address |
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Julie Mouton, LCSW 113 W Convent St, Lafayette, LA 70501-6903 Ph: (337) 534-0770 | Julie Mouton, LCSW 113 W Convent St, Lafayette, LA 70501-6903 Ph: (337) 457-3000 |
Dana Judice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 217 W Brentwood Blvd, Lafayette, LA 70506 Phone: 337-993-7927 Fax: 337-856-8127 | |
Sandra S Mathews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 Rue Louis Xiv, Ste A, Lafayette, LA 70508 Phone: 337-988-1271 Fax: 337-988-1272 | |
Laura L Friedberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 143 Ridgeway Dr Ste 203, Lafayette, LA 70503 Phone: 337-988-9802 Fax: 337-988-9802 | |
Rebecca Oyer, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 809 Martin Luther King Jr Dr, Lafayette, LA 70501 Phone: 337-233-2437 Fax: 337-235-4178 | |
Mrs. Carmen Bergeron Falgout, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Coulee Shore Dr, Lafayette, LA 70503 Phone: 337-237-0036 Fax: 337-237-0566 | |
Ms. Emilia J Bellone, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 Kaliste Saloom Rd Ste C8, Lafayette, LA 70508 Phone: 337-989-0933 Fax: 337-989-8458 | |
Evalyn Yvette Otzenberger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Woodbine Dr, Lafayette, LA 70503 Phone: 337-456-4633 |