| Sarah Larke Brooke Lcsw, Llc | |
|
1340 W Tunnel Blvd Ste 300 Houma LA 70360-2827 | |
| (985) 855-2005 | |
| Not Available |
| Full Name | Sarah Larke Brooke Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1340 W Tunnel Blvd Ste 300, Houma, Louisiana |
| Authorized Official Name and Position | Sarah Brooke (OWNER) |
| Authorized Official Contact | 9858552005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Larke Brooke Lcsw, Llc 6522 W Main St Houma LA 70360-2267 Ph: () - | Sarah Larke Brooke Lcsw, Llc 1340 W Tunnel Blvd Ste 300 Houma LA 70360-2827 Ph: (985) 855-2005 |
| NPI Number | 1811683782 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 5395109193 |
|---|---|
| Medicare Enrollment ID | O20230912004200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811683782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Brooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043501323 PECOS PAC ID: 7618269663 Enrollment ID: I20160712001028 |
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