Modern Day Therapy Llc | |
3501 Severn Ave Ste 20k Metairie LA 70002-3458 | |
(504) 276-4862 | |
Not Available |
Full Name | Modern Day Therapy Llc |
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Speciality | Social Worker |
Location | 3501 Severn Ave Ste 20k, Metairie, Louisiana |
Authorized Official Name and Position | Angelique T Williams (OWNER / MANAGER) |
Authorized Official Contact | 5042764862 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Modern Day Therapy Llc 3501 Severn Ave Ste 20k Metairie LA 70002-3458 Ph: (504) 276-4862 | Modern Day Therapy Llc 3501 Severn Ave Ste 20k Metairie LA 70002-3458 Ph: (504) 276-4862 |
NPI Number | 1730546383 |
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Provider Enumeration Date | 01/26/2016 |
Last Update Date | 01/30/2023 |
Certification Date | 01/30/2023 |
Medicare PECOS PAC ID | 3577868223 |
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Medicare Enrollment ID | O20160218000625 |
Identifier | Type | State | Issuer |
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1730546383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Angelique Williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134594666 PECOS PAC ID: 0749583029 Enrollment ID: I20160218001314 |
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