Up Therapy, Llc | |
1901 Highway 190 Apt 1422 Mandeville LA 70448-3486 | |
(150) 438-8194 | |
Not Available |
Full Name | Up Therapy, Llc |
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Speciality | Social Worker |
Location | 1901 Highway 190 Apt 1422, Mandeville, Louisiana |
Authorized Official Name and Position | Renee' Booker (OWNER) |
Authorized Official Contact | 5043881944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Up Therapy, Llc 1901 Highway 190 Apt 1422 Mandeville LA 70448-3486 Ph: (504) 388-1944 | Up Therapy, Llc 1901 Highway 190 Apt 1422 Mandeville LA 70448-3486 Ph: (150) 438-8194 |
NPI Number | 1215698873 |
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Provider Enumeration Date | 01/06/2022 |
Last Update Date | 09/06/2022 |
Certification Date | 09/06/2022 |
Medicare PECOS PAC ID | 0648667238 |
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Medicare Enrollment ID | O20220429000401 |
Identifier | Type | State | Issuer |
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1215698873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Renee Booker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013411446 PECOS PAC ID: 1557758141 Enrollment ID: I20220429000466 |
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