Bonnie Fortson, LPC | |
300 Plantation Rd Apt 1, Thibodaux, LA 70301-4442 | |
(985) 209-5799 | |
Not Available |
Full Name | Bonnie Fortson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 300 Plantation Rd Apt 1, Thibodaux, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538526181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5383 (Louisiana) | Primary |
Entity Name | South Central La Human Services Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104250265 PECOS PAC ID: 7810129871 Enrollment ID: O20140407001422 |
Mailing Address | Practice Location Address |
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Bonnie Fortson, LPC 300 Plantation Rd Apt 1, Thibodaux, LA 70301-4442 Ph: (985) 209-5799 | Bonnie Fortson, LPC 300 Plantation Rd Apt 1, Thibodaux, LA 70301-4442 Ph: (985) 209-5799 |
Diane Kramarz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Abby Rd, Thibodaux, LA 70301 Phone: 985-448-0764 Fax: 985-448-1912 | |
Joshonda Robertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2528 Talbot Ave, Thibodaux, LA 70301 Phone: 337-579-3379 | |
Shannon White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 W 2nd St, Thibodaux, LA 70301 Phone: 985-446-5244 | |
Mrs. Shenee Haas Gros, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Cherry St., Thibodaux, LA 70301 Phone: 985-381-6393 | |
Dr. Chantrelle Deron Varnado-johnson, PHD, LPC-S., NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 East 1st Stret, Thibodaux, LA 70310 Phone: 985-448-4349 Fax: 985-448-4435 | |
Mrs. M. Celeste R. Shelby, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E 5th St, Thibodaux, LA 70301 Phone: 985-447-5383 Fax: 985-447-5384 | |
Ms. Tonya Fay Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1418 Tiger Dr, Thibodaux, LA 70301 Phone: 985-449-4055 |