Mr Travis Johnson, LPC, LAC | |
5200 Lapalco Blvd, Suite # 2, Marrero, LA 70072-4254 | |
(504) 265-8115 | |
Not Available |
Full Name | Mr Travis Johnson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5200 Lapalco Blvd, Marrero, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356611719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 722 (Louisiana) | Secondary |
101YM0800X | Counselor - Mental Health | 4097 (Louisiana) | Primary |
Entity Name | Jefferson Community Health Care Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558419275 PECOS PAC ID: 7911961115 Enrollment ID: O20041117000594 |
Mailing Address | Practice Location Address |
---|---|
Mr Travis Johnson, LPC, LAC 5200 Lapalco Blvd, Suite # 2, Marrero, LA 70072-4254 Ph: (504) 265-8115 | Mr Travis Johnson, LPC, LAC 5200 Lapalco Blvd, Suite # 2, Marrero, LA 70072-4254 Ph: (504) 265-8115 |
Belinda Joy Varnado-wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 Avenue C, Marrero, LA 70072 Phone: 504-383-7448 Fax: 504-946-5510 | |
Mrs. Stephanie Daniele Neese-thomason, MASTER OF SCIENCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4657 Westbank Expy Ste 2153, Marrero, LA 70072 Phone: 504-323-5158 | |
Princess-india Philicie Powell, LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 5001 Westbank Expy Ste 100, Marrero, LA 70072 Phone: 504-349-8801 | |
Mrs. Amelia Noel, M ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2508 Colorado Dr, Marrero, LA 70072 Phone: 504-261-0222 | |
Jasmine Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6217 West Bank Expressway, Marrero, LA 70072 Phone: 504-533-9761 | |
Juaniece Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5001 Westbank Expy, Marrero, LA 70072 Phone: 504-838-5215 | |
Jamila Ricketts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 Westwood Dr Ste E, Marrero, LA 70072 Phone: 504-340-8880 |