|
| |
|
106 Business Park Avenue Denham Springs LA 70726 | |
| (225) 921-5392 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 106 Business Park Avenue, Denham Springs, Louisiana |
| Authorized Official Name and Position | Evon Roquemore (CEO) |
| Authorized Official Contact | 8884175250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
106 Business Park Avenue Denham Springs LA 70726 Ph: () - | 106 Business Park Avenue Denham Springs LA 70726 Ph: (225) 921-5392 |
| NPI Number | 1275104473 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 8921547936 |
|---|---|
| Medicare Enrollment ID | O20240822000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275104473 | NPI | - | NPPES |
| Provider Name | Kawana Lockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146785 PECOS PAC ID: 3870858418 Enrollment ID: I20180531000769 |
| Provider Name | Christi S Lisenby-hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295278745 PECOS PAC ID: 3971042854 Enrollment ID: I20240822003432 |
The Growth Experience Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8455 Rosemary Ave, Denham Springs, LA 70726 Phone: 225-368-6616 | |
Kellie Barbay, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Aspen Sq Ste B, Denham Springs, LA 70726 Phone: 504-327-7054 | |
Accents Attendant Care Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9403 Huntington Ave, Denham Springs, LA 70726 Phone: 225-664-5630 Fax: 225-664-0186 | |
Shantele Butler Counseling & Teletherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 Del Este Ave Ste 402, Denham Springs, LA 70726 Phone: 225-380-9151 | |
Renu Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 S Range Ave, Denham Springs, LA 70726 Phone: 225-218-4803 |