| |
2955 Ridgelake Dr Ste 105 Metairie LA 70002-4947 | |
(504) 838-9919 | |
(504) 834-3103 |
Full Name | |
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Speciality | Social Worker |
Location | 2955 Ridgelake Dr Ste 105, Metairie, Louisiana |
Authorized Official Name and Position | Yen Tao (OWNER) |
Authorized Official Contact | 5045793937 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4914 Bissonet Dr Metairie LA 70003-1138 Ph: (504) 343-2247 | 2955 Ridgelake Dr Ste 105 Metairie LA 70002-4947 Ph: (504) 838-9919 |
NPI Number | 1003018904 |
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Provider Enumeration Date | 06/03/2007 |
Last Update Date | 04/03/2024 |
Certification Date | 04/03/2024 |
Medicare PECOS PAC ID | 6608112404 |
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Medicare Enrollment ID | O20190116000859 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003018904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Yen K Tao |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578771598 PECOS PAC ID: 9133220718 Enrollment ID: I20070726000448 |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |