Trinity Wellness Counseling Llc. | |
902 C M Fagan Dr Ste G Hammond LA 70403-6043 | |
(985) 474-4958 | |
(985) 318-7617 |
Full Name | Trinity Wellness Counseling Llc. |
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Speciality | Clinic/Center |
Location | 902 C M Fagan Dr Ste G, Hammond, Louisiana |
Authorized Official Name and Position | Kermindra L Maberry (OWNER/ AUTHORIZED AGENT) |
Authorized Official Contact | 9854744958 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trinity Wellness Counseling Llc. 61540 Bennett Rd Amite LA 70422 Ph: (985) 474-4958 | Trinity Wellness Counseling Llc. 902 C M Fagan Dr Ste G Hammond LA 70403-6043 Ph: (985) 474-4958 |
NPI Number | 1942830757 |
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Provider Enumeration Date | 01/21/2020 |
Last Update Date | 06/26/2023 |
Certification Date | 06/26/2023 |
Medicare PECOS PAC ID | 1951722719 |
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Medicare Enrollment ID | O20200603000008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942830757 | NPI | - | NPPES |
Provider Name | Kermindra L Maberry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972956530 PECOS PAC ID: 7113358441 Enrollment ID: I20200603000204 |
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