Mrs Kristy Lashawn Dandridge-clark, LPC | |
29437 Highway 63, Ste. 14, Livingston, LA 70754-7075 | |
(225) 283-1356 | |
Not Available |
Full Name | Mrs Kristy Lashawn Dandridge-clark |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 29437 Highway 63, Livingston, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396114161 | NPI | - | NPPES |
6147 | Other | LA | STATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Louisiana) | Primary |
Entity Name | Primary Care Providers For A Healthy Feliciana Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristy Lashawn Dandridge-clark, LPC Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Mrs Kristy Lashawn Dandridge-clark, LPC 29437 Highway 63, Ste. 14, Livingston, LA 70754-7075 Ph: (225) 283-1356 |
Christa W Blackwell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28315 S. Frost Rd., Livingston, LA 70754 Phone: 225-283-1356 Fax: 225-686-2962 | |
Danielle Lynn Greco, LPC Counselor Medicare: Medicare Enrolled Practice Location: 28315 S. Frost Rd., Livingston, LA 70754 Phone: 225-283-1356 Fax: 225-686-2962 | |
Laura Ann Woods, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 29724 S. Magnolia St., Livingston, LA 70754 Phone: 985-474-9902 | |
Mrs. Nicolette Paul, MS,CI Counselor Medicare: Not Enrolled in Medicare Practice Location: 28315 S Frost Rd, Livingston, LA 70754 Phone: 225-283-1356 Fax: 225-683-1310 | |
Allison Kenan, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 29437 Highway 63 Ste.14, Livingston, LA 70754 Phone: 225-683-5292 Fax: 225-683-1310 | |
Valerie H Smith, LPC Counselor Medicare: Medicare Enrolled Practice Location: 28315 S Frost Rd, Livingston, LA 70754 Phone: 225-283-1356 Fax: 225-683-1310 |