| Striving For Optimal Health | |
|
4134 Florida Ave Ste 203 Kenner LA 70065-2190 | |
| (504) 356-8660 | |
| Not Available |
| Full Name | Striving For Optimal Health |
|---|---|
| Speciality | Social Worker |
| Location | 4134 Florida Ave Ste 203, Kenner, Louisiana |
| Authorized Official Name and Position | Tanisha Lejon Clark (OWNER) |
| Authorized Official Contact | 5043568660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Striving For Optimal Health 4134 Florida Ave Ste 203 Kenner LA 70065-2190 Ph: (504) 356-8660 | Striving For Optimal Health 4134 Florida Ave Ste 203 Kenner LA 70065-2190 Ph: (504) 356-8660 |
| NPI Number | 1851973150 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 2567864176 |
|---|---|
| Medicare Enrollment ID | O20210706000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851973150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Tanisha Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952691859 PECOS PAC ID: 3173839545 Enrollment ID: I20150831001331 |
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