| Integrated Care And Consulting Llc | |
|
3201 Wall Blvd Gretna LA 70056-7875 | |
| (504) 475-3777 | |
| (985) 781-4319 |
| Full Name | Integrated Care And Consulting Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3201 Wall Blvd, Gretna, Louisiana |
| Authorized Official Name and Position | Donisha Dunn-lombard (OWNER) |
| Authorized Official Contact | 9857810548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care And Consulting Llc 3674 Pin Oak Ave New Orleans LA 70131 Ph: (504) 475-3777 | Integrated Care And Consulting Llc 3201 Wall Blvd Gretna LA 70056-7875 Ph: (504) 475-3777 |
| NPI Number | 1629625827 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 09/10/2019 |
| Medicare PECOS PAC ID | 3476883075 |
|---|---|
| Medicare Enrollment ID | O20190913001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629625827 | NPI | - | NPPES |
| 202115 | Other | LA | MENTAL HEALTH GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Donisha Dunn-lombard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164681847 PECOS PAC ID: 6709952625 Enrollment ID: I20080829000079 |
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