Center For Change,inc | |
12a Westbank Expy Ste 205 Gretna LA 70053-3659 | |
(504) 362-5122 | |
(504) 362-5163 |
Full Name | Center For Change,inc |
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Speciality | Social Worker - Clinical |
Location | 12a Westbank Expy, Gretna, Louisiana |
Authorized Official Name and Position | Deanna R Miles (PRESIDENT) |
Authorized Official Contact | 5043625122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Change,inc 12a Westbank Expy Ste 205 Gretna LA 70053-3659 Ph: (504) 362-5122 | Center For Change,inc 12a Westbank Expy Ste 205 Gretna LA 70053-3659 Ph: (504) 362-5122 |
NPI Number | 1003973132 |
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Provider Enumeration Date | 01/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1003973132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2915 (Louisiana) | Primary |
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