Dynamic Counseling And Consulting Services | |
429 W Airline Hwy Ste Q-4 La Place LA 70068-3817 | |
(985) 210-6487 | |
Not Available |
Full Name | Dynamic Counseling And Consulting Services |
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Speciality | Counselor |
Location | 429 W Airline Hwy Ste Q-4, La Place, Louisiana |
Authorized Official Name and Position | Kiana Washington (OWNER) |
Authorized Official Contact | 9852106487 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dynamic Counseling And Consulting Services 166 Tuscany Dr La Place LA 70068-8412 Ph: (985) 210-6487 | Dynamic Counseling And Consulting Services 429 W Airline Hwy Ste Q-4 La Place LA 70068-3817 Ph: (985) 210-6487 |
NPI Number | 1629564034 |
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Provider Enumeration Date | 07/09/2018 |
Last Update Date | 12/19/2024 |
Certification Date | 12/19/2024 |
Medicare PECOS PAC ID | 1951841675 |
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Medicare Enrollment ID | O20240909004213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629564034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Kiana Marie Washington |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508100454 PECOS PAC ID: 2860932589 Enrollment ID: I20240927000784 |
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