| Crayton Counseling And Consulting Llc | |
|
2025 Antares Dr Bastrop LA 71220-3452 | |
| (318) 351-4120 | |
| Not Available |
| Full Name | Crayton Counseling And Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2025 Antares Dr, Bastrop, Louisiana |
| Authorized Official Name and Position | Suzette Gutter (OWNER/PROVIDER) |
| Authorized Official Contact | 3183514120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crayton Counseling And Consulting Llc 2025 Antares Dr Bastrop LA 71220-3452 Ph: (318) 351-4120 | Crayton Counseling And Consulting Llc 2025 Antares Dr Bastrop LA 71220-3452 Ph: (318) 351-4120 |
| NPI Number | 1962061267 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 06/10/2019 |
| Medicare PECOS PAC ID | 5597091967 |
|---|---|
| Medicare Enrollment ID | O20190723001317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962061267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Suzette M Crayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639297369 PECOS PAC ID: 3375789860 Enrollment ID: I20130430000159 |
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