| Joe Vega Llc | |
|
4209 Canal St Ste 202 New Orleans LA 70119-5942 | |
| (504) 272-7035 | |
| (985) 781-4319 |
| Full Name | Joe Vega Llc |
|---|---|
| Speciality | Counselor |
| Location | 4209 Canal St Ste 202, New Orleans, Louisiana |
| Authorized Official Name and Position | Joe Vega (OWNER) |
| Authorized Official Contact | 9082275171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe Vega Llc 4209 Canal St Ste 202 New Orleans LA 70119-5942 Ph: (504) 272-7035 | Joe Vega Llc 4209 Canal St Ste 202 New Orleans LA 70119-5942 Ph: (504) 272-7035 |
| NPI Number | 1285344143 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Medicare PECOS PAC ID | 3971972498 |
|---|---|
| Medicare Enrollment ID | O20221206000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285344143 | NPI | - | NPPES |
| 2406850 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jose Ignacio Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558704973 PECOS PAC ID: 6709027196 Enrollment ID: I20221129000239 |
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