Raime Thibodeaux Llc | |
403a Hickory St Thibodaux LA 70301-2013 | |
(225) 802-3075 | |
Not Available |
Full Name | Raime Thibodeaux Llc |
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Speciality | Counselor - Professional |
Location | 403a Hickory St, Thibodaux, Louisiana |
Authorized Official Name and Position | Raime Thibodeaux (COUNSELOR) |
Authorized Official Contact | 2258023075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Raime Thibodeaux Llc 330 Tetreau St Thibodaux LA 70301-3538 Ph: (225) 802-3075 | Raime Thibodeaux Llc 403a Hickory St Thibodaux LA 70301-2013 Ph: (225) 802-3075 |
NPI Number | 1881979995 |
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Provider Enumeration Date | 10/20/2011 |
Last Update Date | 10/20/2011 |
Identifier | Type | State | Issuer |
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1881979995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3863 (Louisiana) | Secondary |
101YP2500X | Counselor - Professional | 3863 (Louisiana) | Primary |
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