| Blooming Potential | |
|
501 Mcmillan Rd West Monroe LA 71291-5327 | |
| (318) 582-5889 | |
| (318) 550-4726 |
| Full Name | Blooming Potential |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 501 Mcmillan Rd, West Monroe, Louisiana |
| Authorized Official Name and Position | Tiffany N Rigal (OWNER) |
| Authorized Official Contact | 3183815140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Potential 501 Mcmillan Rd West Monroe LA 71291-5327 Ph: (318) 582-5889 | Blooming Potential 501 Mcmillan Rd West Monroe LA 71291-5327 Ph: (318) 582-5889 |
| NPI Number | 1033568282 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 7315337524 |
|---|---|
| Medicare Enrollment ID | O20211202001099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033568282 | NPI | - | NPPES |
| Provider Name | Tiffany D Rigal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720368806 PECOS PAC ID: 5698945392 Enrollment ID: I20110908001656 |
| Provider Name | Whitney Reich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497302673 PECOS PAC ID: 3072905942 Enrollment ID: I20220126003063 |
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