Anthony Bundy, LPC | |
711 Colonial Dr, Baton Rouge, LA 70806-6549 | |
(225) 246-2162 | |
Not Available |
Full Name | Anthony Bundy |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 711 Colonial Dr, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588111751 | NPI | - | NPPES |
23-2799679 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6633 (Louisiana) | Secondary |
101YP2500X | Counselor - Professional | 89067 (Texas) | Primary |
Entity Name | Alaniz Counseling And Behavioral Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811288731 PECOS PAC ID: 0648596924 Enrollment ID: O20150304000138 |
Mailing Address | Practice Location Address |
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Anthony Bundy, LPC 711 Colonial Dr, Baton Rouge, LA 70806-6549 Ph: (225) 246-2162 | Anthony Bundy, LPC 711 Colonial Dr, Baton Rouge, LA 70806-6549 Ph: (225) 246-2162 |
Janet Roy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4615 Government St, Building 2, Baton Rouge, LA 70806 Phone: 225-925-1906 Fax: 225-925-1972 | |
Dr. Shalanda R Judge, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Goodwood Blvd Ste A1, Baton Rouge, LA 70806 Phone: 225-421-1921 | |
Devora Knight, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8706 Jefferson Hwy Ste A, Baton Rouge, LA 70809 Phone: 225-926-9706 Fax: 225-926-9708 | |
Alacia Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3968 North Blvd, Baton Rouge, LA 70806 Phone: 225-397-4414 | |
Jennifer Sampson Norwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Colonial Dr, Baton Rouge, LA 70806 Phone: 225-292-5151 | |
Doris Hammond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12097 Old Hammond Hwy Ste I4, Baton Rouge, LA 70816 Phone: 225-246-8816 Fax: 225-302-5506 | |
Staci Nicole Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11616 Southfork Ave, Baton Rouge, LA 70816 Phone: 225-291-9646 |