| Disney & Associates, Inc | |
|
133 Jefferson Dr Lake Charles LA 70605-5713 | |
| (337) 431-7194 | |
| (279) 205-3136 |
| Full Name | Disney & Associates, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 Jefferson Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Karen Lynne Elfert (BUSINESS MANAGER) |
| Authorized Official Contact | 3374317194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Disney & Associates, Inc 133 Jefferson Dr Lake Charles LA 70605-5713 Ph: (337) 431-7194 | Disney & Associates, Inc 133 Jefferson Dr Lake Charles LA 70605-5713 Ph: (337) 431-7194 |
| NPI Number | 1225183213 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 2264963925 |
|---|---|
| Medicare Enrollment ID | O20241004001839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225183213 | NPI | - | NPPES |
| 1649929 | Medicaid | LA |
| Provider Name | Sandra Isabel Viggiani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467768788 PECOS PAC ID: 4486981719 Enrollment ID: I20190809000827 |
| Provider Name | Randy E North |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033230040 PECOS PAC ID: 8426385741 Enrollment ID: I20241023001955 |
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