| Renewal And Restoration, Llc Therapeutic And Counseling Services | |
|
210 N Florida St Covington LA 70433-3248 | |
| (504) 264-1830 | |
| Not Available |
| Full Name | Renewal And Restoration, Llc Therapeutic And Counseling Services |
|---|---|
| Speciality | Psychologist |
| Location | 210 N Florida St, Covington, Louisiana |
| Authorized Official Name and Position | Ariel Moss Lloyd (DIRECTOR/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5042641830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal And Restoration, Llc Therapeutic And Counseling Services 7451 Seven Oaks Rd New Orleans LA 70128-2230 Ph: (504) 722-5228 | Renewal And Restoration, Llc Therapeutic And Counseling Services 210 N Florida St Covington LA 70433-3248 Ph: (504) 264-1830 |
| NPI Number | 1528450566 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 02/10/2016 |
| Medicare PECOS PAC ID | 6002199346 |
|---|---|
| Medicare Enrollment ID | O20170210000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528450566 | NPI | - | NPPES |
| 600788083 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1202 (Louisiana) | Primary |
| Provider Name | Ariel Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205071263 PECOS PAC ID: 8426290537 Enrollment ID: I20130819000805 |
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