| Carlye Abrams Lpc Lmft Inc | |
|
401 Hamilton Rd Ste 114 Bossier City LA 71111-4615 | |
| (318) 550-1235 | |
| (337) 855-1829 |
| Full Name | Carlye Abrams Lpc Lmft Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 401 Hamilton Rd Ste 114, Bossier City, Louisiana |
| Authorized Official Name and Position | Carly Abrams (OWNER) |
| Authorized Official Contact | 3185501235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlye Abrams Lpc Lmft Inc Po Box 13047 Lake Charles LA 70612-3047 Ph: (337) 855-9023 | Carlye Abrams Lpc Lmft Inc 401 Hamilton Rd Ste 114 Bossier City LA 71111-4615 Ph: (318) 550-1235 |
| NPI Number | 1144085143 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 9638514607 |
|---|---|
| Medicare Enrollment ID | O20240229001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144085143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Carlye Abrams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770510323 PECOS PAC ID: 0547605511 Enrollment ID: I20240229001326 |
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