Acadiana Hope And Wellness Center, Llc | |
19157 Crowley Eunice Hwy Crowley LA 70526-0801 | |
(337) 514-2101 | |
(337) 514-2105 |
Full Name | Acadiana Hope And Wellness Center, Llc |
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Speciality | Community/Behavioral Health |
Location | 19157 Crowley Eunice Hwy, Crowley, Louisiana |
Authorized Official Name and Position | Valencia Demuchest (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 3375142101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Acadiana Hope And Wellness Center, Llc 19157 Crowley Eunice Hwy Crowley LA 70526-0801 Ph: (337) 514-2101 | Acadiana Hope And Wellness Center, Llc 19157 Crowley Eunice Hwy Crowley LA 70526-0801 Ph: (337) 514-2101 |
NPI Number | 1194182774 |
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Provider Enumeration Date | 01/27/2016 |
Last Update Date | 06/22/2023 |
Certification Date | 06/22/2023 |
Medicare PECOS PAC ID | 9739425778 |
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Medicare Enrollment ID | O20190111000386 |
Identifier | Type | State | Issuer |
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1194182774 | NPI | - | NPPES |
Provider Name | Mary S Gathe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437594181 PECOS PAC ID: 4385886365 Enrollment ID: I20130805000718 |
Provider Name | Nathan George |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225401748 PECOS PAC ID: 4981936994 Enrollment ID: I20191024000666 |
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