Nicholas Ben Licata, is a
Marriage & Family Therapist based in Jefferson, Louisiana. Nicholas Ben Licata is licensed to practice in Louisiana (license number 2910) and his current practice location is
4728 Jefferson Hwy, Jefferson, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 734-0501.
NPI number for Nicholas Ben Licata is 1447459581 and his current mailing address is 4728 Jefferson Hwy, Jefferson, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447459581.
Healthcare Provider's Profile
Full Name | Nicholas Ben Licata |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 4728 Jefferson Hwy, Jefferson, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447459581
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 04/22/2008
Medical Identifiers
Medical identifiers for Nicholas Ben Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447459581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 2910 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Ben Licata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicholas Ben Licata, 4728 Jefferson Hwy, Jefferson, LA 70121-3125 Ph: (504) 734-0501 | Nicholas Ben Licata, 4728 Jefferson Hwy, Jefferson, LA 70121-3125 Ph: (504) 734-0501 |
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