| Rebirth Rehabilitation Counseling Llc | |
|
6418 Nesting Dr Gonzales LA 70737-8645 | |
| (225) 303-4897 | |
| (225) 612-6445 |
| Full Name | Rebirth Rehabilitation Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6418 Nesting Dr, Gonzales, Louisiana |
| Authorized Official Name and Position | Harriette Raysheen Wade (OWNER/CHIEF THERAPIST) |
| Authorized Official Contact | 2253034897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebirth Rehabilitation Counseling Llc 301 Main St Baton Rouge LA 70801-1919 Ph: (225) 303-4897 | Rebirth Rehabilitation Counseling Llc 6418 Nesting Dr Gonzales LA 70737-8645 Ph: (225) 303-4897 |
| NPI Number | 1235805052 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235805052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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