| A Place 4 Me | |
|
309 N Church St Carencro LA 70520-3625 | |
| (337) 565-0908 | |
| (877) 789-4819 |
| Full Name | A Place 4 Me |
|---|---|
| Speciality | Counselor |
| Location | 309 N Church St, Carencro, Louisiana |
| Authorized Official Name and Position | Shirley Joseph (CEO/LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3375236770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place 4 Me Po Box 613 Carencro LA 70520-0613 Ph: (337) 565-0908 | A Place 4 Me 309 N Church St Carencro LA 70520-3625 Ph: (337) 565-0908 |
| NPI Number | 1700331428 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/31/2020 |
| Medicare PECOS PAC ID | 1052724465 |
|---|---|
| Medicare Enrollment ID | O20210104000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700331428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5529 (Louisiana) | Primary |
| Provider Name | Christy Callens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033447800 PECOS PAC ID: 1456488733 Enrollment ID: I20100419000011 |
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