| Adv Services, Llc | |
|
14400 Stonegate Manor Dr Gonzales LA 70737-7593 | |
| (740) 658-3362 | |
| (567) 210-2640 |
| Full Name | Adv Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 14400 Stonegate Manor Dr, Gonzales, Louisiana |
| Authorized Official Name and Position | Amanda Dominique (MANAGER) |
| Authorized Official Contact | 7406583362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adv Services, Llc 14400 Stonegate Manor Dr Gonzales LA 70737-7593 Ph: (740) 658-3362 | Adv Services, Llc 14400 Stonegate Manor Dr Gonzales LA 70737-7593 Ph: (740) 658-3362 |
| NPI Number | 1427898725 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 05/27/2024 |
| Certification Date | 05/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427898725 | NPI | - | NPPES |
| 1821562216 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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