Thomas Michael Ward, LPC | |
2829 4th Ave, Lake Charles, LA 70601-7887 | |
(337) 477-7091 | |
(337) 474-4552 |
Full Name | Thomas Michael Ward |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2829 4th Ave, 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 |
---|---|---|---|
1376073239 | NPI | - | NPPES |
1551228 | Medicaid | LA | |
1063569648 | Other | LA | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5714 (Louisiana) | Primary |
Entity Name | Acadian Holistic Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275240228 PECOS PAC ID: 0042671950 Enrollment ID: O20230725001847 |
Mailing Address | Practice Location Address |
---|---|
Thomas Michael Ward, LPC 2829 4th Ave, Lake Charles, LA 70601-7887 Ph: (337) 477-7091 | Thomas Michael Ward, LPC 2829 4th Ave, Lake Charles, LA 70601-7887 Ph: (337) 477-7091 |
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 |