Wanda Lynn Grant, LPC | |
28972 Hwy 43, Albany, LA 70711 | |
(225) 567-6886 | |
(225) 567-6828 |
Full Name | Wanda Lynn Grant |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 28972 Hwy 43, Albany, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578880829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3987 (Louisiana) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3987 (Louisiana) | Secondary |
Entity Name | Primary Care Providers For A Healthy Feliciana Inc. |
---|---|
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 |
---|---|
Wanda Lynn Grant, LPC 28972 Hwy 43, Albany, LA 70711 Ph: (225) 567-6886 | Wanda Lynn Grant, LPC 28972 Hwy 43, Albany, LA 70711 Ph: (225) 567-6886 |
Miss Sugcora Knighton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28391 Longfellow Ln, Albany, LA 70711 Phone: 225-771-9521 | |
Jeffrey Scott Graves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29925 Bartich St, Albany, LA 70711 Phone: 985-318-9648 | |
David Gutekunst, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29809 Atlanta Dr, Albany, LA 70711 Phone: 985-789-7498 | |
Jonnelle Bickford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29830 Barich St, Albany, LA 70711 Phone: 985-402-2056 |