Ms Lilian Wanjiku Gathanga, MS LPC | |
4510 Common St Apt 75, Lake Charles, LA 70607-5752 | |
(337) 414-3397 | |
Not Available |
Full Name | Ms Lilian Wanjiku Gathanga |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4510 Common St Apt 75, 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 |
---|---|---|---|
1144750159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 8078 (Louisiana) | Secondary |
101YP2500X | Counselor - Professional | 8078 (Louisiana) | Primary |
Entity Name | Brightside Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Ms Lilian Wanjiku Gathanga, MS LPC 4510 Common St Apt 75, Lake Charles, LA 70607-5752 Ph: (337) 414-3397 | Ms Lilian Wanjiku Gathanga, MS LPC 4510 Common St Apt 75, Lake Charles, LA 70607-5752 Ph: (337) 414-3397 |
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 |