| The Oaks | |
|
1000 Mckeen Pl Monroe LA 71201-4406 | |
| (318) 388-3734 | |
| Not Available |
| Full Name | The Oaks |
|---|---|
| Speciality | Social Worker |
| Location | 1000 Mckeen Pl, Monroe, Louisiana |
| Authorized Official Name and Position | Debbie White (ACCOUNTS PAYABLE) |
| Authorized Official Contact | 6012763909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Oaks 4109 Highway 98 W Summit MS 39666-9132 Ph: () - | The Oaks 1000 Mckeen Pl Monroe LA 71201-4406 Ph: (318) 388-3734 |
| NPI Number | 1578834198 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 11/12/2012 |
| Medicare PECOS PAC ID | 7911181805 |
|---|---|
| Medicare Enrollment ID | O20120601000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578834198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Holly Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073171963 PECOS PAC ID: 9638504244 Enrollment ID: I20200108001389 |
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