| Dr. Phaetra K. Raney Foundation, Inc. | |
|
912 Mill St Oakdale LA 71463-3449 | |
| (832) 363-7877 | |
| Not Available |
| Full Name | Dr. Phaetra K. Raney Foundation, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 912 Mill St, Oakdale, Louisiana |
| Authorized Official Name and Position | Phaetra Raney (PRESIDENT) |
| Authorized Official Contact | 8323637877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Phaetra K. Raney Foundation, Inc. 19901 Southwest Fwy Ste 141 Sugar Land TX 77479-6538 Ph: (832) 363-7877 | Dr. Phaetra K. Raney Foundation, Inc. 912 Mill St Oakdale LA 71463-3449 Ph: (832) 363-7877 |
| NPI Number | 1427716521 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427716521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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