| A Life Choice For Personal Enhancement, Llc | |
|
401 Whitney Ave 604 Gretna LA 70056-2558 | |
| (504) 362-0504 | |
| (504) 362-0504 |
| Full Name | A Life Choice For Personal Enhancement, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 Whitney Ave, Gretna, Louisiana |
| Authorized Official Name and Position | Tricia Marie Marshall-ferguson (DIRECTOR) |
| Authorized Official Contact | 5043620504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Life Choice For Personal Enhancement, Llc 401 Whitney Ave 604 Gretna LA 70056-2558 Ph: (504) 362-0504 | A Life Choice For Personal Enhancement, Llc 401 Whitney Ave 604 Gretna LA 70056-2558 Ph: (504) 362-0504 |
| NPI Number | 1104180884 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104180884 | NPI | - | NPPES |
| 03 | Other | LA | HUMANA |
| 04 | Other | LA | MHNET/BEHAVIORAL HEALTH |
| 06 | Other | LA | HMO OF LA |
| 13 | Other | LA | COVENTRY HEALTH CARE |
| 02 | Other | LA | COMPCARE |
| 07 | Other | LA | UNITED BEHAVIORAL HEALTH |
| 08 | Other | LA | VALUE OPTIONS INC |
| 4000 | Medicaid | LA | |
| 05 | Other | LA | MHNET SPECIALTY SERVICES |
| 10 | Other | LA | APWU HEALTH CARE |
| 11 | Other | LA | LIFESYNCH |
| 001 | Other | LA | BCBS OF LOUISIANA |
| 0007792856 | Other | LA | AETNA |
| 09 | Other | LA | MILITARY ONESOURCE |
| 12 | Other | LA | GEVERNMENT EMPLOYEES HEALTH ASSOCIATION INC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4671998 (Louisiana) | Primary |
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