| Claveau Counseling Center | |
|
1310 27th Ave Ste 201 Gulfport MS 39501-1937 | |
| (228) 222-5858 | |
| (601) 385-3698 |
| Full Name | Claveau Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 1310 27th Ave Ste 201, Gulfport, Mississippi |
| Authorized Official Name and Position | Lou A Claveau (OWNER) |
| Authorized Official Contact | 2282225858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claveau Counseling Center 1310 27th Ave Ste 201 Gulfport MS 39501-1937 Ph: (228) 222-5858 | Claveau Counseling Center 1310 27th Ave Ste 201 Gulfport MS 39501-1937 Ph: (228) 222-5858 |
| NPI Number | 1639945504 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 7517310444 |
|---|---|
| Medicare Enrollment ID | O20240126004167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639945504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Louanna Claveau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376622423 PECOS PAC ID: 8426401357 Enrollment ID: I20240220000578 |
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