| Mental Connections Of Southwest Llc | |
|
127 Williamsburg St Bldg E Lake Charles LA 70605-5719 | |
| (337) 376-0136 | |
| (337) 376-5244 |
| Full Name | Mental Connections Of Southwest Llc |
|---|---|
| Speciality | Counselor |
| Location | 127 Williamsburg St Bldg E, Lake Charles, Louisiana |
| Authorized Official Name and Position | Robin Claire Daugereau (OWNER/MANAGER) |
| Authorized Official Contact | 3373760136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Connections Of Southwest Llc Po Box 1273 Lake Charles LA 70602-1273 Ph: (337) 376-0136 | Mental Connections Of Southwest Llc 127 Williamsburg St Bldg E Lake Charles LA 70605-5719 Ph: (337) 376-0136 |
| NPI Number | 1508301037 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Medicare PECOS PAC ID | 1850796632 |
|---|---|
| Medicare Enrollment ID | O20210817000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508301037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4894 (Louisiana) | Primary |
| Provider Name | Sarah Newman Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760825152 PECOS PAC ID: 5597992354 Enrollment ID: I20131226001326 |
| Provider Name | Cain Christopher Schexneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588147276 PECOS PAC ID: 7719230986 Enrollment ID: I20181106000492 |
| Provider Name | Jacqueline L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441827 PECOS PAC ID: 4981031846 Enrollment ID: I20200305002055 |
Gulf Coast Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Pujo St Ste A, Lake Charles, LA 70601 Phone: 337-436-6622 Fax: 337-436-4403 | |
New Beginnings Community Outreach Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lakeshore Dr Ste 1640e, Lake Charles, LA 70629 Phone: 337-794-5351 Fax: 337-433-4894 | |
Family And Youth Counseling Agency, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Louie St, Lake Charles, LA 70601 Phone: 337-436-9533 Fax: 337-439-9941 | |
Saint Nicholas Center For Early Intervention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Broad St, Suite B, Lake Charles, LA 70601 Phone: 337-491-0800 Fax: 337-491-0508 | |
Volunteers Of America Greater Baton Rouge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Oak Park Blvd, Suite 421, Lake Charles, LA 70601 Phone: 225-387-0061 | |
Bloom Behavioral Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E College St, Lake Charles, LA 70605 Phone: 337-240-6038 | |
Jody Davidson Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 315 Alamo St, Lake Charles, LA 70601 Phone: 337-794-1141 |