Charles Mcdonald, LPC | |
1924 Southwood Dr, Lake Charles, LA 70605-4131 | |
(337) 532-0446 | |
(888) 984-3535 |
Full Name | Charles Mcdonald |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1924 Southwood Dr, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225402654 | NPI | - | NPPES |
1104531 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2407 (Louisiana) | Primary |
Entity Name | Acadian Holistic Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275240228 PECOS PAC ID: 0042671950 Enrollment ID: O20230725001847 |
Mailing Address | Practice Location Address |
---|---|
Charles Mcdonald, LPC 5822 Willow Breeze Dr, Lake Charles, LA 70605-3144 Ph: (337) 532-0446 | Charles Mcdonald, LPC 1924 Southwood Dr, Lake Charles, LA 70605-4131 Ph: (337) 532-0446 |
Fallon Harmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Kimberly Chevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Ms. Nyneisha Ruth Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Mrs. Dianna Lynn Dearden, LPC LMFT CNN RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 W Bayou Pines Dr, Suite B, Lake Charles, LA 70601 Phone: 337-310-0153 Fax: 337-310-0202 | |
Mrs. Michelle Renee Roshto, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4131 Canal St Ste B, Lake Charles, LA 70605 Phone: 337-274-8017 Fax: 833-713-2641 | |
Rebekah Anne Cox, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4216 Lake St, Lake Charles, LA 70605 Phone: 337-274-5335 | |
Laura Holmes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2706 Hodges St, Lake Charles, LA 70601 Phone: 337-491-1740 Fax: 337-491-1741 |