| Interwoven Psychological Services Llc | |
|
726 Adams St Apt A New Orleans LA 70118-3907 | |
| (504) 515-1275 | |
| Not Available |
| Full Name | Interwoven Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 726 Adams St Apt A, New Orleans, Louisiana |
| Authorized Official Name and Position | Jade Elise Kobayashi (PSYCHOLOGIST) |
| Authorized Official Contact | 3102004297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interwoven Psychological Services Llc 1731 Milan St New Orleans LA 70115-4733 Ph: () - | Interwoven Psychological Services Llc 726 Adams St Apt A New Orleans LA 70118-3907 Ph: (504) 515-1275 |
| NPI Number | 1508588542 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 3971974783 |
|---|---|
| Medicare Enrollment ID | O20230113000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508588542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jade Elise Kobayashi |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1447873476 PECOS PAC ID: 5799156501 Enrollment ID: I20230113000836 |
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