| Renee Richards Lcsw Llc | |
|
1405 W Pinhook Rd Ste 106a Lafayette LA 70503-3100 | |
| (337) 287-9075 | |
| Not Available |
| Full Name | Renee Richards Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1405 W Pinhook Rd Ste 106a, Lafayette, Louisiana |
| Authorized Official Name and Position | Renee Richards (OWNER) |
| Authorized Official Contact | 3372879075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Richards Lcsw Llc 1405 W Pinhook Rd Ste 106a Lafayette LA 70503-3100 Ph: (337) 287-9075 | Renee Richards Lcsw Llc 1405 W Pinhook Rd Ste 106a Lafayette LA 70503-3100 Ph: (337) 287-9075 |
| NPI Number | 1417427246 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 12/05/2018 |
| Medicare PECOS PAC ID | 1951640010 |
|---|---|
| Medicare Enrollment ID | O20190307000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417427246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Renee L Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124509369 PECOS PAC ID: 7113266289 Enrollment ID: I20190307000886 |
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