| Trenton And Godeaux Counseling Services, Llc | |
|
108 State St Lake Charles LA 70605-5718 | |
| (337) 915-0900 | |
| (337) 915-0910 |
| Full Name | Trenton And Godeaux Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 108 State St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Paul Godeaux (OWNER/MEMBER) |
| Authorized Official Contact | 3379150900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trenton And Godeaux Counseling Services, Llc Po Box 2331 Sulphur LA 70664-2331 Ph: (337) 915-0900 | Trenton And Godeaux Counseling Services, Llc 108 State St Lake Charles LA 70605-5718 Ph: (337) 915-0900 |
| NPI Number | 1376287102 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 1355786757 |
|---|---|
| Medicare Enrollment ID | O20240226000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376287102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle T Godeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669537726 PECOS PAC ID: 7618312018 Enrollment ID: I20240715001998 |
| Provider Name | Paul J Godeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578629804 PECOS PAC ID: 9739624818 Enrollment ID: I20240715002242 |
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