Angela Landry, Lcsw, Llc | |
5687 Commerce Street Suite 7 St. Francisville LA 70775 | |
(225) 245-5040 | |
Not Available |
Full Name | Angela Landry, Lcsw, Llc |
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Speciality | Counselor |
Location | 5687 Commerce Street, St. Francisville, Louisiana |
Authorized Official Name and Position | Angela Landry (OWNER) |
Authorized Official Contact | 2257189525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Angela Landry, Lcsw, Llc Po Box 2162 Saint Francisville LA 70775-2162 Ph: () - | Angela Landry, Lcsw, Llc 5687 Commerce Street Suite 7 St. Francisville LA 70775 Ph: (225) 245-5040 |
NPI Number | 1396267233 |
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Provider Enumeration Date | 07/12/2017 |
Last Update Date | 10/28/2020 |
Certification Date | 10/28/2020 |
Medicare PECOS PAC ID | 5496026718 |
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Medicare Enrollment ID | O20170804002143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396267233 | NPI | - | NPPES |
2452762 | Medicaid | LA |
Provider Name | Angela A Landry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114464831 PECOS PAC ID: 5294006516 Enrollment ID: I20170804002407 |
Lisa Williams Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7191 Us Highway 61, St. Francisville, LA 70775 Phone: 225-245-5040 Fax: 844-273-2191 | |
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