| Options For Independence | |
|
1340 W Tunnel Blvd Ste 212 Houma LA 70360-2818 | |
| (985) 853-8550 | |
| (985) 853-8559 |
| Full Name | Options For Independence |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1340 W Tunnel Blvd Ste 212, Houma, Louisiana |
| Authorized Official Name and Position | Donald Gleason (DIRECTOR) |
| Authorized Official Contact | 9858538550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Options For Independence 761 W Tunnel Blvd Ste D Houma LA 70360-5544 Ph: (985) 868-2620 | Options For Independence 1340 W Tunnel Blvd Ste 212 Houma LA 70360-2818 Ph: (985) 853-8550 |
| NPI Number | 1649421736 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Medicare PECOS PAC ID | 3971815853 |
|---|---|
| Medicare Enrollment ID | O20150707000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649421736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 10220 (Louisiana) | Primary |
| Provider Name | Bridget Leche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558634576 PECOS PAC ID: 9638481542 Enrollment ID: I20150707001732 |
| Provider Name | Sarah Brooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043501323 PECOS PAC ID: 7618269663 Enrollment ID: I20160712001028 |
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