| Greenhouse Counseling Services | |
|
141 Ridgeway Dr Ste 107 Lafayette LA 70503-3402 | |
| (337) 207-3536 | |
| Not Available |
| Full Name | Greenhouse Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 141 Ridgeway Dr Ste 107, Lafayette, Louisiana |
| Authorized Official Name and Position | Nicole Ashley Delahoussaye (OWNER) |
| Authorized Official Contact | 3372073536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenhouse Counseling Services 415 Richard Ave New Iberia LA 70560-8292 Ph: (337) 207-3536 | Greenhouse Counseling Services 141 Ridgeway Dr Ste 107 Lafayette LA 70503-3402 Ph: (337) 207-3536 |
| NPI Number | 1205455805 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Medicare PECOS PAC ID | 6406286624 |
|---|---|
| Medicare Enrollment ID | O20200430000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205455805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nicole Ashley Delahoussaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093370629 PECOS PAC ID: 7214367432 Enrollment ID: I20200430000808 |
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