| Michael A. Stanton Lcsw, Inc. | |
|
141 Ridgeway Dr Suite 105 Lafayette LA 70503-3402 | |
| (337) 984-4167 | |
| Not Available |
| Full Name | Michael A. Stanton Lcsw, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 141 Ridgeway Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Mike Anthony Stanton (SOCIAL WORKER) |
| Authorized Official Contact | 3379844167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Stanton Lcsw, Inc. 141 Ridgeway Dr Suite 105 Lafayette LA 70503-3402 Ph: (337) 984-4167 | Michael A. Stanton Lcsw, Inc. 141 Ridgeway Dr Suite 105 Lafayette LA 70503-3402 Ph: (337) 984-4167 |
| NPI Number | 1861651879 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 06/04/2008 |
| Medicare PECOS PAC ID | 9931391828 |
|---|---|
| Medicare Enrollment ID | O20110113000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861651879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2557 (Louisiana) | Primary |
| Provider Name | Michael A. Stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417022732 PECOS PAC ID: 8527257047 Enrollment ID: I20110113000715 |
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