| Misty Pardee, Lcsw | |
|
1505 Washington St Franklinton LA 70438-2138 | |
| (985) 237-4880 | |
| Not Available |
| Full Name | Misty Pardee, Lcsw |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1505 Washington St, Franklinton, Louisiana |
| Authorized Official Name and Position | Misty Leigh Pardee (OWNER) |
| Authorized Official Contact | 9852374880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Pardee, Lcsw 38311 Highway 440 Mount Hermon LA 70450-3005 Ph: (985) 237-4880 | Misty Pardee, Lcsw 1505 Washington St Franklinton LA 70438-2138 Ph: (985) 237-4880 |
| NPI Number | 1861730954 |
|---|---|
| Provider Enumeration Date | 01/23/2013 |
| Last Update Date | 09/05/2014 |
| Medicare PECOS PAC ID | 0547584443 |
|---|---|
| Medicare Enrollment ID | O20150126000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861730954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9776 (Louisiana) | Primary |
| Provider Name | Misty Leigh Pardee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790942324 PECOS PAC ID: 7517281363 Enrollment ID: I20150128001959 |
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