| Cenla Professional Counseling | |
|
1412 Peterman Drive Suite Alexandria LA 71301 | |
| (318) 787-6805 | |
| (318) 787-6818 |
| Full Name | Cenla Professional Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1412 Peterman Drive, Alexandria, Louisiana |
| Authorized Official Name and Position | Theresa G. Cole (MANAGER/PARTNER) |
| Authorized Official Contact | 3187876805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cenla Professional Counseling 1412 Peterman Drive Suite A Alexandria LA 71301 Ph: (318) 787-6805 | Cenla Professional Counseling 1412 Peterman Drive Suite Alexandria LA 71301 Ph: (318) 787-6805 |
| NPI Number | 1306103981 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 05/18/2012 |
| Medicare PECOS PAC ID | 5890945398 |
|---|---|
| Medicare Enrollment ID | O20121018000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306103981 | NPI | - | NPPES |
| 1235925 | Other | CAQH |
| Provider Name | Theresa Grace Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568515435 PECOS PAC ID: 6709036064 Enrollment ID: I20121022000604 |
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