| Melody Bennett, Llc | |
|
906 C M Fagan Dr Ste A3 Hammond LA 70403-6056 | |
| (985) 345-1121 | |
| (985) 662-5165 |
| Full Name | Melody Bennett, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 906 C M Fagan Dr Ste A3, Hammond, Louisiana |
| Authorized Official Name and Position | Melody L Bennett (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9853451121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Bennett, Llc 906 C M Fagan Dr Ste A3 Hammond LA 70403-6056 Ph: () - | Melody Bennett, Llc 906 C M Fagan Dr Ste A3 Hammond LA 70403-6056 Ph: (985) 345-1121 |
| NPI Number | 1609142249 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609142249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2890 (Louisiana) | Primary |
| 106H00000X | Marriage & Family Therapist | 891 (Louisiana) | Secondary |
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