N/a | |
600 S Genois St New Orleans LA 70119-7033 | |
(410) 570-8777 | |
Not Available |
Full Name | N/a |
---|---|
Speciality | Counselor |
Location | 600 S Genois St, New Orleans, Louisiana |
Authorized Official Name and Position | Erika Lowman (SOCIAL WORKER/ THERAPIST) |
Authorized Official Contact | 4105708777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
N/a 600 S Genois St New Orleans LA 70119-7033 Ph: (410) 570-8777 | N/a 600 S Genois St New Orleans LA 70119-7033 Ph: (410) 570-8777 |
NPI Number | 1528678141 |
---|---|
Provider Enumeration Date | 08/07/2020 |
Last Update Date | 10/26/2020 |
Certification Date | 10/26/2020 |
Medicare PECOS PAC ID | 8628480050 |
---|---|
Medicare Enrollment ID | O20201209000974 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528678141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Erika Sather Lowman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033462924 PECOS PAC ID: 9537571963 Enrollment ID: I20201209001153 |
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