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50 Wade St Ste 5 Luling LA 70070-2054 | |
| (985) 231-5045 | |
| (985) 331-0110 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 50 Wade St Ste 5, Luling, Louisiana |
| Authorized Official Name and Position | Kathleen Oqueli Mcgraw (PRESIDENT / CEO) |
| Authorized Official Contact | 5044599839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
50 Wade St Ste 5 Luling LA 70070-2054 Ph: (985) 231-5045 | 50 Wade St Ste 5 Luling LA 70070-2054 Ph: (985) 231-5045 |
| NPI Number | 1003812850 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003812850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1399 (Louisiana) | Primary |
| 1041C0700X | Social Worker - Clinical | 4644 (Louisiana) | Secondary |
A Peace Of Mind Ii, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12715 Highway 90 Ste 220, Luling, LA 70070 Phone: 985-785-4451 Fax: 985-785-4459 | |
The Official Resource Headquarters, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Paul Maillard Rd, Luling, LA 70070 Phone: 985-785-9300 | |
Families For Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Paul Maillard Rd, Luling, LA 70070 Phone: 504-650-9575 |