Cenla Psychiatry, Llc | |
5615 Jackson St Ste D Alexandria LA 71303-2326 | |
(318) 442-9999 | |
(318) 442-9976 |
Full Name | Cenla Psychiatry, Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 5615 Jackson St Ste D, Alexandria, Louisiana |
Authorized Official Name and Position | Gene Thomas Robichaux (OWNER) |
Authorized Official Contact | 3186644786 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cenla Psychiatry, Llc Po Box 7231 Alexandria LA 71306-0231 Ph: (318) 664-4786 | Cenla Psychiatry, Llc 5615 Jackson St Ste D Alexandria LA 71303-2326 Ph: (318) 442-9999 |
NPI Number | 1972258176 |
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Provider Enumeration Date | 02/16/2022 |
Last Update Date | 02/16/2022 |
Certification Date | 02/16/2022 |
Medicare PECOS PAC ID | 0840685855 |
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Medicare Enrollment ID | O20220309001955 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972258176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Gene T Robichaux |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255793634 PECOS PAC ID: 5193018174 Enrollment ID: I20210322001510 |
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