Mr Dino Dominic Balliviero, LPC, CTTS | |
71338 Hwy. 21, Suite 101, Covington, LA 70433-7162 | |
(985) 624-2942 | |
(985) 231-1373 |
Full Name | Mr Dino Dominic Balliviero |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 71338 Hwy. 21, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386883312 | NPI | - | NPPES |
LPC2732 | Other | LA | PROFESSIONAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2732 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Mr Dino Dominic Balliviero, LPC, CTTS 203 Leeds St, Slidell, LA 70461-5061 Ph: (985) 643-3669 | Mr Dino Dominic Balliviero, LPC, CTTS 71338 Hwy. 21, Suite 101, Covington, LA 70433-7162 Ph: (985) 624-2942 |
Jessica Oddo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Shady Oaks Dr, Covington, LA 70433 Phone: 504-224-0288 | |
Crystal Younger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 1/2 W 21st Ave, Covington, LA 70433 Phone: 985-276-4165 | |
Dr. Christy Montgomery, ED.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pecan Grove Ct, Covington, LA 70433 Phone: 985-516-1395 | |
Dr. Donald James Waterman Jr., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5001 Highway 190 East Service Rd Ste C1, Covington, LA 70433 Phone: 985-626-8700 Fax: 985-892-2055 | |
Ms. Gina Francesca Greco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4465 Highway 190 East Service Rd, Covington, LA 70433 Phone: 504-460-0289 | |
Ms. Dawn Brewer Ferrara, NCC, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 S Jefferson Ave Ste B, Covington, LA 70433 Phone: 985-373-6000 | |
Latoya Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19295 N 3rd St Ste 2, Covington, LA 70433 Phone: 985-400-5901 Fax: 985-400-5164 |