| Transcend Counseling Of Louisiana Llc | |
|
146 Lawlis Rd Deridder LA 70634-5455 | |
| (337) 221-1274 | |
| Not Available |
| Full Name | Transcend Counseling Of Louisiana Llc |
|---|---|
| Speciality | Counselor |
| Location | 146 Lawlis Rd, Deridder, Louisiana |
| Authorized Official Name and Position | Jeremy Erwin (OWNER) |
| Authorized Official Contact | 3372211274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transcend Counseling Of Louisiana Llc 146 Lawlis Rd Deridder LA 70634-5455 Ph: (337) 221-1274 | Transcend Counseling Of Louisiana Llc 146 Lawlis Rd Deridder LA 70634-5455 Ph: (337) 221-1274 |
| NPI Number | 1013668425 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Certification Date | 01/17/2022 |
| Medicare PECOS PAC ID | 1759727282 |
|---|---|
| Medicare Enrollment ID | O20240307000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013668425 | NPI | - | NPPES |
| 44110 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jeremy Erwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386126951 PECOS PAC ID: 9739525262 Enrollment ID: I20240307002085 |
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