| Psychological Health Care Of South Louisiana | |
|
1016 Houma St Houma LA 70360-4420 | |
| (985) 859-5455 | |
| (985) 859-5455 |
| Full Name | Psychological Health Care Of South Louisiana |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1016 Houma St, Houma, Louisiana |
| Authorized Official Name and Position | Kenneth Christopher Rachal (PRESIDENT) |
| Authorized Official Contact | 9858595455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Care Of South Louisiana 1016 Houma St Houma LA 70360-4420 Ph: (985) 859-5455 | Psychological Health Care Of South Louisiana 1016 Houma St Houma LA 70360-4420 Ph: (985) 859-5455 |
| NPI Number | 1134418502 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Medicare PECOS PAC ID | 5395916571 |
|---|---|
| Medicare Enrollment ID | O20110920000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134418502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 895 (Louisiana) | Primary |
| 103TP0016X | Psychologist - Prescribing (medical) | MP.0014 (Louisiana) | Secondary |
| Provider Name | Kenneth C Rachal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871590067 PECOS PAC ID: 4385799444 Enrollment ID: I20090902000224 |
| Provider Name | Alyse Blanchard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689124687 PECOS PAC ID: 8527349364 Enrollment ID: I20170110000859 |
| Provider Name | Ryan Michael Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346855517 PECOS PAC ID: 4183044480 Enrollment ID: I20201026000500 |
| Provider Name | Bryan Keith Bunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487212650 PECOS PAC ID: 4688110257 Enrollment ID: I20240719002057 |
| Provider Name | Mark P Dufrene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831842392 PECOS PAC ID: 8224575741 Enrollment ID: I20240801003474 |
| Provider Name | Ashley Ann Dufrene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043057862 PECOS PAC ID: 3072045368 Enrollment ID: I20241010004021 |
| Provider Name | Michael Disalvo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407380934 PECOS PAC ID: 7618402330 Enrollment ID: I20241119000107 |
Houma Wellness Center Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 991 Grand Caillou Rd, Suite 120, Houma, LA 70363 Phone: 985-876-8513 Fax: 985-876-8514 | |
Cusps And Capabilities Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7835 Park Ave, Houma, LA 70364 Phone: 985-872-9838 Fax: 985-872-9866 | |
Inceptions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Bond St, Houma, LA 70360 Phone: 985-851-7887 Fax: 985-851-7889 | |
Gulf Coast Teaching Family Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Point St, Houma, LA 70360 Phone: 985-851-4488 Fax: 985-872-0985 | |