Stephanie Lynn Vines, LPC | |
152 W Main St, New Iberia, LA 70560-3871 | |
(337) 380-6803 | |
(337) 340-9252 |
Full Name | Stephanie Lynn Vines |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 152 W Main St, New Iberia, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396204277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2390 (Louisiana) | Primary |
Entity Name | Stephanie Vines, Ncc, Lpc, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598143612 PECOS PAC ID: 7618328907 Enrollment ID: O20240111001266 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Lynn Vines, LPC 152 W Main St, New Iberia, LA 70560-3871 Ph: (337) 380-6803 | Stephanie Lynn Vines, LPC 152 W Main St, New Iberia, LA 70560-3871 Ph: (337) 380-6803 |
Camille Jarrell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Allen St, New Iberia, LA 70563 Phone: 337-519-1336 | |
Muhammad Ayers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 Jefferson Ter Ste E, New Iberia, LA 70560 Phone: 337-256-8704 | |
Mr. William Floyd Dockett Ii, MA, LAC, SAP, CCGC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Field St, New Iberia, LA 70560 Phone: 267-235-3036 Fax: 480-247-4641 | |
Desiree Drexler, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1614 E Main St, Suite C, New Iberia, LA 70560 Phone: 337-369-6600 | |
Jazzlyn Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Main St Ste 200, New Iberia, LA 70560 Phone: 337-321-9204 | |
John K Rawe, LPC, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 449 E Saint Peter St, New Iberia, LA 70560 Phone: 337-321-9204 | |
Valarie Prince, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W Admiral Doyle Dr, New Iberia, LA 70560 Phone: 337-373-2135 Fax: 337-373-0125 |