Mrs Deanderia D Gremillion, MA, LPC, NCC | |
230 Roberts Dr Ste H, New Roads, LA 70760-2661 | |
(225) 618-5959 | |
(225) 238-8330 |
Full Name | Mrs Deanderia D Gremillion |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 230 Roberts Dr Ste H, New Roads, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497125462 | NPI | - | NPPES |
16138376 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 7735 (Louisiana) | Primary |
Entity Name | Innis Community Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205858388 PECOS PAC ID: 9931130358 Enrollment ID: O20050825000691 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deanderia D Gremillion, MA, LPC, NCC 5519 Boulevard D Isle, Jarreau, LA 70749-3121 Ph: (225) 939-4787 | Mrs Deanderia D Gremillion, MA, LPC, NCC 230 Roberts Dr Ste H, New Roads, LA 70760-2661 Ph: (225) 618-5959 |
Nastashia Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Carolina St, New Roads, LA 70760 Phone: 225-638-8449 | |
Myra Odom-betz, MHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Carolina St, New Roads, LA 70760 Phone: 225-638-8449 | |
Mr. Ken Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Carolina St, New Roads, LA 70760 Phone: 225-638-8449 | |
Robbin Trim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9041 Delta Place Rd, New Roads, LA 70760 Phone: 225-718-7005 | |
Ms. Robin Diane Moeller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 112 W. Main Street, New Roads, LA 70760 Phone: 225-618-8888 | |
Quentin Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1919 Hospital Rd, New Roads, LA 70760 Phone: 225-638-8449 |