Mark David Ifland, LPC, LMFT | |
701 S Royal St, Deridder, LA 70634-4949 | |
(337) 463-4900 | |
(337) 463-4908 |
Full Name | Mark David Ifland |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 701 S Royal St, Deridder, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538268149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 289 (Louisiana) | Secondary |
101YP2500X | Counselor - Professional | 1964 (Louisiana) | Primary |
Entity Name | Brighthope Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386352268 PECOS PAC ID: 8628412905 Enrollment ID: O20240214001980 |
Mailing Address | Practice Location Address |
---|---|
Mark David Ifland, LPC, LMFT Po Box 1022, Deridder, LA 70634-1022 Ph: (337) 463-4900 | Mark David Ifland, LPC, LMFT 701 S Royal St, Deridder, LA 70634-4949 Ph: (337) 463-4900 |
Ms. Terri Theaux, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 S Pine St, Deridder, LA 70634 Phone: 337-462-2110 Fax: 337-462-2128 | |
Mrs. Jessica May Williams-ashmore, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 W Port St, Deridder, LA 70634 Phone: 337-462-1641 | |
Mr. James M Bailey Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 735 Lecompte St, Deridder, LA 70634 Phone: 337-401-6010 | |
Mrs. Jesslyn Pearson Langbein, LPC, CFLE Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 W Port St, Deridder, LA 70634 Phone: 337-462-1354 | |
Nancy Grade, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 S Royal St, Deridder, LA 70634 Phone: 337-463-4900 | |
Mr. Nicholas Skinner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Wilson St, Deridder, LA 70634 Phone: 337-463-4020 | |
Jessica Nicole Bell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Peach St, Deridder, LA 70634 Phone: 214-771-2939 |