Teresa Taylor, | |
1640 S Columbia St, Bogalusa, LA 70427-5800 | |
(985) 735-1750 | |
Not Available |
Full Name | Teresa Taylor |
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Gender | Female |
Speciality | Counselor |
Location | 1640 S Columbia St, Bogalusa, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205459666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | PLC7983 (Louisiana) | Primary |
Entity Name | Bmsc Az Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20200226000556 |
Entity Name | Azalea Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043999170 PECOS PAC ID: 8628432028 Enrollment ID: O20230919002265 |
Mailing Address | Practice Location Address |
---|---|
Teresa Taylor, 1640 S Columbia St, Bogalusa, LA 70427-5800 Ph: () - | Teresa Taylor, 1640 S Columbia St, Bogalusa, LA 70427-5800 Ph: (985) 735-1750 |
Hendria Thompson, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Columbia St, Bogalusa, LA 70427 Phone: 985-735-9448 | |
Miss Trudy Mclain, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 Georgia Ave, Bogalusa, LA 70427 Phone: 985-732-6610 Fax: 985-732-6626 | |
Joshua Smith, M.ED, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Columbia St, Bogalusa, LA 70427 Phone: 985-735-9448 | |
Tysha Montez Magee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 Richmond St, Bogalusa, LA 70427 Phone: 985-732-2089 | |
Glenna Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Columbia St, Bogalusa, LA 70427 Phone: 985-735-9448 | |
Shelita Peters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Louisiana Ave, Bogalusa, LA 70427 Phone: 888-417-5250 Fax: 225-341-8756 | |
Brittney Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 S Columbia St, Bogalusa, LA 70427 Phone: 985-241-5284 |