| Pantheon Aba, Llc | |
|
5154 Garland Dr Apt A Lake Charles LA 70605-6069 | |
| (318) 554-8348 | |
| Not Available |
| Full Name | Pantheon Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5154 Garland Dr Apt A, Lake Charles, Louisiana |
| Authorized Official Name and Position | Maggie Marie Kurtzuba (OWNER/DIRECTOR) |
| Authorized Official Contact | 3185548348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pantheon Aba, Llc 5154 Garland Dr Apt 2 Lake Charles LA 70605-6069 Ph: (318) 554-8348 | Pantheon Aba, Llc 5154 Garland Dr Apt A Lake Charles LA 70605-6069 Ph: (318) 554-8348 |
| NPI Number | 1770219891 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770219891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Gulf Coast Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Pujo St Ste A, Lake Charles, LA 70601 Phone: 337-436-6622 Fax: 337-436-4403 | |
New Beginnings Community Outreach Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lakeshore Dr Ste 1640e, Lake Charles, LA 70629 Phone: 337-794-5351 Fax: 337-433-4894 | |
Family And Youth Counseling Agency, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Louie St, Lake Charles, LA 70601 Phone: 337-436-9533 Fax: 337-439-9941 | |
Saint Nicholas Center For Early Intervention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Broad St, Suite B, Lake Charles, LA 70601 Phone: 337-491-0800 Fax: 337-491-0508 | |
Volunteers Of America Greater Baton Rouge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Oak Park Blvd, Suite 421, Lake Charles, LA 70601 Phone: 225-387-0061 | |
Bloom Behavioral Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E College St, Lake Charles, LA 70605 Phone: 337-240-6038 | |
Jody Davidson Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 315 Alamo St, Lake Charles, LA 70601 Phone: 337-794-1141 |