| Laura Phillips | |
|
401 Whitney Ave Ste 604 Gretna LA 70056-2506 | |
| (504) 453-4589 | |
| Not Available |
| Full Name | Laura Phillips |
|---|---|
| Speciality | Social Worker |
| Location | 401 Whitney Ave Ste 604, Gretna, Louisiana |
| Authorized Official Name and Position | Laura De Bram Phillips (SOCIAL WORKER) |
| Authorized Official Contact | 5044534589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Phillips 401 Whitney Ave Ste 604 Gretna LA 70056-2506 Ph: () - | Laura Phillips 401 Whitney Ave Ste 604 Gretna LA 70056-2506 Ph: (504) 453-4589 |
| NPI Number | 1538646211 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Medicare PECOS PAC ID | 2365791340 |
|---|---|
| Medicare Enrollment ID | O20180824000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538646211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5226 (Louisiana) | Primary |
| Provider Name | Laura Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528577681 PECOS PAC ID: 9436408309 Enrollment ID: I20180827001333 |
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