| Pivot Counseling, Llc | |
|
2020 W Pinhook Rd Ste 401 Lafayette LA 70508-3212 | |
| (337) 257-3522 | |
| (337) 483-1835 |
| Full Name | Pivot Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2020 W Pinhook Rd Ste 401, Lafayette, Louisiana |
| Authorized Official Name and Position | Jill Yeates (OWNER) |
| Authorized Official Contact | 3372573522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot Counseling, Llc 105 Osage Dr Youngsville LA 70592-5140 Ph: (337) 257-3522 | Pivot Counseling, Llc 2020 W Pinhook Rd Ste 401 Lafayette LA 70508-3212 Ph: (337) 257-3522 |
| NPI Number | 1689335572 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 03/18/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 6901299007 |
|---|---|
| Medicare Enrollment ID | O20220214002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689335572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jill Duncan Yeates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770732471 PECOS PAC ID: 7719370816 Enrollment ID: I20220214002073 |
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