| Thinkchange Interventions Llc | |
|
700 1st Ave Sulphur LA 70663-3423 | |
| (337) 528-6969 | |
| (337) 528-6970 |
| Full Name | Thinkchange Interventions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 700 1st Ave, Sulphur, Louisiana |
| Authorized Official Name and Position | Terry Alan Lane (OWNER) |
| Authorized Official Contact | 3375286969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thinkchange Interventions Llc 700 1st Ave Sulphur LA 70663-3423 Ph: (337) 528-6969 | Thinkchange Interventions Llc 700 1st Ave Sulphur LA 70663-3423 Ph: (337) 528-6969 |
| NPI Number | 1831446012 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 02/23/2015 |
| Medicare PECOS PAC ID | 1355667965 |
|---|---|
| Medicare Enrollment ID | O20150225001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831446012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7327 (Louisiana) | Primary |
| Provider Name | Terry Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003154113 PECOS PAC ID: 7517283120 Enrollment ID: I20150225002048 |
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