| Moving Forward Counseling Center Of Louisiana Llc | |
|
711 E. Ascension Street Suite Pmb260 Gonzales LA 70737 | |
| (225) 279-4145 | |
| Not Available |
| Full Name | Moving Forward Counseling Center Of Louisiana Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 711 E. Ascension Street, Gonzales, Louisiana |
| Authorized Official Name and Position | Ashley Snowden (SOCIAL WORKER) |
| Authorized Official Contact | 2252794145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Forward Counseling Center Of Louisiana Llc Po Box 1970 Prairieville LA 70769-1970 Ph: (225) 279-4145 | Moving Forward Counseling Center Of Louisiana Llc 711 E. Ascension Street Suite Pmb260 Gonzales LA 70737 Ph: (225) 279-4145 |
| NPI Number | 1487301438 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 8426439191 |
|---|---|
| Medicare Enrollment ID | O20220713001649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487301438 | NPI | - | NPPES |
| Provider Name | Ashley Nicole Snowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619646619 PECOS PAC ID: 2264813922 Enrollment ID: I20220713001572 |
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