| Mandi Laper, Lcsw, Inc | |
|
318 E Park St Crowley LA 70526-2468 | |
| (337) 280-0539 | |
| (337) 785-1188 |
| Full Name | Mandi Laper, Lcsw, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 318 E Park St, Crowley, Louisiana |
| Authorized Official Name and Position | Mandi Melton (LCSW) |
| Authorized Official Contact | 3372800539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Laper, Lcsw, Inc 137 Timberland Ridge Blvd Lafayette LA 70507-2743 Ph: (337) 280-0539 | Mandi Laper, Lcsw, Inc 318 E Park St Crowley LA 70526-2468 Ph: (337) 280-0539 |
| NPI Number | 1073758462 |
|---|---|
| Provider Enumeration Date | 12/13/2008 |
| Last Update Date | 12/05/2012 |
| Medicare PECOS PAC ID | 3173686425 |
|---|---|
| Medicare Enrollment ID | O20090113000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073758462 | NPI | - | NPPES |
| 1549185 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7242 (Louisiana) | Primary |
| Provider Name | Mandi J Melton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568685121 PECOS PAC ID: 7113972159 Enrollment ID: I20050314000186 |
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