| Unlimited Alternatives To Change, Llc | |
|
3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2476 | |
| (318) 746-1935 | |
| Not Available |
| Full Name | Unlimited Alternatives To Change, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3018 Old Minden Rd, Bossier City, Louisiana |
| Authorized Official Name and Position | Nikita Black (PARTNER) |
| Authorized Official Contact | 3187461935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlimited Alternatives To Change, Llc 3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2476 Ph: (318) 349-0907 | Unlimited Alternatives To Change, Llc 3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2476 Ph: (318) 746-1935 |
| NPI Number | 1053731232 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 8921322793 |
|---|---|
| Medicare Enrollment ID | O20150127000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053731232 | NPI | - | NPPES |
| Provider Name | Stancy Tomekio Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265024517 PECOS PAC ID: 2163820234 Enrollment ID: I20211005001364 |
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