Mandy Alecia Mccoy, MSW, LCSW | |
815 Crescent St, Breaux Bridge, LA 70517-4109 | |
(318) 613-7675 | |
Not Available |
Full Name | Mandy Alecia Mccoy |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 815 Crescent St, Breaux Bridge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629647102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15956 (Louisiana) | Primary |
Entity Name | Jayme Liles Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386292019 PECOS PAC ID: 2365773538 Enrollment ID: O20191021000364 |
Mailing Address | Practice Location Address |
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Mandy Alecia Mccoy, MSW, LCSW 815 Crescent St, Breaux Bridge, LA 70517-4109 Ph: (318) 613-7675 | Mandy Alecia Mccoy, MSW, LCSW 815 Crescent St, Breaux Bridge, LA 70517-4109 Ph: (318) 613-7675 |
Jeffrey Lynn Tyler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1069 Melancon Dr, Breaux Bridge, LA 70517 Phone: 337-205-8774 | |
Sommer Marie Charles, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 830 Belle Dr, Breaux Bridge, LA 70517 Phone: 337-344-1548 | |
Mrs. Tiffany R Shaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3310 Daisy Meadows Ln, Breaux Bridge, LA 70517 Phone: 337-351-7071 | |
Sierra Boutte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2309 Grand Point Rd, Breaux Bridge, LA 70517 Phone: 337-935-2310 | |
Mr. Ray Wayne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 319 Robbie Rd, Breaux Bridge, LA 70517 Phone: 337-322-3030 | |
Mrs. Natalie Marea Duff, LCSW, BACS Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2309 Grand Point Rd, Breaux Bridge, LA 70517 Phone: 337-935-2310 Fax: 337-350-3940 |