| Micah Speaks Kid Camp | |
|
201 Jeffrey Dr Apt 206g Lafayette LA 70503-4566 | |
| (225) 348-6807 | |
| Not Available |
| Full Name | Micah Speaks Kid Camp |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 201 Jeffrey Dr Apt 206g, Lafayette, Louisiana |
| Authorized Official Name and Position | Jessica Ballard (PRESIDENT) |
| Authorized Official Contact | 2253486807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Speaks Kid Camp 201 Jeffrey Dr Apt 206g Lafayette LA 70503-4566 Ph: (225) 348-6807 | Micah Speaks Kid Camp 201 Jeffrey Dr Apt 206g Lafayette LA 70503-4566 Ph: (225) 348-6807 |
| NPI Number | 1407439904 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407439904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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