| Renfro & Associates, Llc | |
|
3715 Williams Blvd Ste 105 Kenner LA 70065-3066 | |
| (504) 201-2543 | |
| Not Available |
| Full Name | Renfro & Associates, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3715 Williams Blvd Ste 105, Kenner, Louisiana |
| Authorized Official Name and Position | Darrell L Renfro (OWNER/OPERATOR) |
| Authorized Official Contact | 5043394801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renfro & Associates, Llc 4132 Georgia Ave Apt A Kenner LA 70065-2283 Ph: (504) 339-4801 | Renfro & Associates, Llc 3715 Williams Blvd Ste 105 Kenner LA 70065-3066 Ph: (504) 201-2543 |
| NPI Number | 1083933501 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 05/24/2010 |
| Medicare PECOS PAC ID | 6103268933 |
|---|---|
| Medicare Enrollment ID | O20240524002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083933501 | NPI | - | NPPES |
| 101Y00000X | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3439 (Louisiana) | Primary |
| Provider Name | Darrell L Renfro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851610380 PECOS PAC ID: 9335581032 Enrollment ID: I20240528000551 |
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