| Delta Health Services Llc | |
|
708 Janice Dr Sulphur LA 70663-4210 | |
| (337) 476-9599 | |
| Not Available |
| Full Name | Delta Health Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 708 Janice Dr, Sulphur, Louisiana |
| Authorized Official Name and Position | Bruce Plauche (OWNER) |
| Authorized Official Contact | 3374769599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health Services Llc 708 Janice Dr Sulphur LA 70663-4210 Ph: (337) 476-9599 | Delta Health Services Llc 708 Janice Dr Sulphur LA 70663-4210 Ph: (337) 476-9599 |
| NPI Number | 1871193649 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 05/26/2021 |
| Certification Date | 05/26/2021 |
| Medicare PECOS PAC ID | 7911373402 |
|---|---|
| Medicare Enrollment ID | O20221025002618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871193649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Pamela S Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578796074 PECOS PAC ID: 5294874830 Enrollment ID: I20091120000253 |
| Provider Name | Theresa M Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457714628 PECOS PAC ID: 1557622495 Enrollment ID: I20180309001326 |
| Provider Name | Martha G Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487106530 PECOS PAC ID: 4981967627 Enrollment ID: I20180411002460 |
| Provider Name | Bruce W Plauche |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346505880 PECOS PAC ID: 0941677264 Enrollment ID: I20240327003106 |
| Provider Name | Keith W Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528439908 PECOS PAC ID: 3072965573 Enrollment ID: I20240328003821 |
| Provider Name | Brenda S Gueringer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114197563 PECOS PAC ID: 9032558184 Enrollment ID: I20240422002990 |
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