| The Headstrong Group, L.l.c. | |
|
805 Parent St New Roads LA 70760-2215 | |
| (225) 439-2137 | |
| Not Available |
| Full Name | The Headstrong Group, L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 805 Parent St, New Roads, Louisiana |
| Authorized Official Name and Position | Kevin J. Tripeaux (C.E.O/PRESIDENT) |
| Authorized Official Contact | 2254392137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Headstrong Group, L.l.c. Po Box 66695 Baton Rouge LA 70896-6695 Ph: () - | The Headstrong Group, L.l.c. 805 Parent St New Roads LA 70760-2215 Ph: (225) 439-2137 |
| NPI Number | 1245535145 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 01/24/2011 |
| Medicare PECOS PAC ID | 3870775570 |
|---|---|
| Medicare Enrollment ID | O20110316000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245535145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5242 (Louisiana) | Primary |
| Provider Name | Kevin J Tripeaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396887899 PECOS PAC ID: 7719907286 Enrollment ID: I20051129000511 |
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