| Light Work Counseling Services Llc | |
|
2901 Ridgelake Dr Ste 104 Metairie LA 70002-4946 | |
| (504) 350-2750 | |
| Not Available |
| Full Name | Light Work Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2901 Ridgelake Dr Ste 104, Metairie, Louisiana |
| Authorized Official Name and Position | Tiffany Polite Henderson (OWNER/COUNSELOR) |
| Authorized Official Contact | 5042304310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Work Counseling Services Llc 152 Woodruff Dr Slidell LA 70461-4181 Ph: () - | Light Work Counseling Services Llc 2901 Ridgelake Dr Ste 104 Metairie LA 70002-4946 Ph: (504) 350-2750 |
| NPI Number | 1710576947 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 6103266713 |
|---|---|
| Medicare Enrollment ID | O20240430002354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710576947 | NPI | - | NPPES |
| Provider Name | Tiffany Polite Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275056624 PECOS PAC ID: 7911347521 Enrollment ID: I20240430002629 |
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