Leslie Olivier, Lcsw, Llc | |
7197 Us Highway 61 Saint Francisville LA 70775 | |
(814) 791-5253 | |
Not Available |
Full Name | Leslie Olivier, Lcsw, Llc |
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Speciality | Clinic/Center |
Location | 7197 Us Highway 61, Saint Francisville, Louisiana |
Authorized Official Name and Position | Leslie Olivier (LCSW/SOLE OWNER) |
Authorized Official Contact | 8147915253 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leslie Olivier, Lcsw, Llc 7654 Highway 421 Saint Francisville LA 70775-7211 Ph: () - | Leslie Olivier, Lcsw, Llc 7197 Us Highway 61 Saint Francisville LA 70775 Ph: (814) 791-5253 |
NPI Number | 1154011450 |
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Provider Enumeration Date | 05/10/2023 |
Last Update Date | 05/10/2023 |
Certification Date | 04/27/2023 |
Medicare PECOS PAC ID | 2062879125 |
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Medicare Enrollment ID | O20230605001693 |
Identifier | Type | State | Issuer |
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1154011450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Leslie Olivier |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144894163 PECOS PAC ID: 1658738711 Enrollment ID: I20230605002017 |
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