Pivotal Moments Xtra Miles | |
530 S Court St Opelousas LA 70570-5002 | |
(337) 308-4574 | |
(337) 284-3034 |
Full Name | Pivotal Moments Xtra Miles |
---|---|
Speciality | Counselor - Mental Health |
Location | 530 S Court St, Opelousas, Louisiana |
Authorized Official Name and Position | Scholar Jenkins (CEO) |
Authorized Official Contact | 3373084574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pivotal Moments Xtra Miles 530 S Court St Opelousas LA 70570-5002 Ph: (337) 308-4574 | Pivotal Moments Xtra Miles 530 S Court St Opelousas LA 70570-5002 Ph: (337) 308-4574 |
NPI Number | 1578308581 |
---|---|
Provider Enumeration Date | 07/01/2024 |
Last Update Date | 07/01/2024 |
Certification Date | 07/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578308581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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