| Interactional Services, Inc | |
|
707 Southfield Rd Shreveport LA 71106-2219 | |
| (318) 869-1632 | |
| (318) 869-1633 |
| Full Name | Interactional Services, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 707 Southfield Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Marguerite W Salley (PRESIDENT) |
| Authorized Official Contact | 3188691632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interactional Services, Inc 707 Southfield Rd Shreveport LA 71106-2219 Ph: (318) 869-1632 | Interactional Services, Inc 707 Southfield Rd Shreveport LA 71106-2219 Ph: (318) 869-1632 |
| NPI Number | 1891821641 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 09/30/2011 |
| Medicare PECOS PAC ID | 5799677647 |
|---|---|
| Medicare Enrollment ID | O20040326000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891821641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 440B (Louisiana) | Primary |
| Provider Name | Linda I Grayson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669626842 PECOS PAC ID: 5294871729 Enrollment ID: I20091014000042 |
| Provider Name | Amanda B Middlebrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710130950 PECOS PAC ID: 3173648649 Enrollment ID: I20100921000887 |
| Provider Name | Brandy Morgan Stroud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538621420 PECOS PAC ID: 2668706326 Enrollment ID: I20190628002159 |
| Provider Name | Sarah Watts Drummond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215309620 PECOS PAC ID: 3678906328 Enrollment ID: I20191210003142 |
| Provider Name | Megan Rabalais Dice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023648185 PECOS PAC ID: 8022447119 Enrollment ID: I20200413001242 |
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