Gracishone Larrian Floyd, | |
2742 Augusta St, Kenner, LA 70062-5118 | |
(504) 333-9635 | |
Not Available |
Full Name | Gracishone Larrian Floyd |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2742 Augusta St, Kenner, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598382301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 9316 (Louisiana) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Primary Care Providers For A Healthy Feliciana Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173 |
Mailing Address | Practice Location Address |
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Gracishone Larrian Floyd, 2742 Augusta St, Kenner, LA 70062-5118 Ph: (504) 333-9635 | Gracishone Larrian Floyd, 2742 Augusta St, Kenner, LA 70062-5118 Ph: (504) 333-9635 |
Henry Augustus Lutterodt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 912 Sessions Ln, Kenner, LA 70065 Phone: 336-457-4153 | |
Jose Chacon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Kingston St, Unit C, Kenner, LA 70062 Phone: 504-315-0363 | |
Cedrick Doucet, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Veterans Memorial Blvd, Suite 215, Kenner, LA 70062 Phone: 504-405-5280 Fax: 504-405-5434 | |
Kenmeisha Norlondra Ezidore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 Farrar Ave, Kenner, LA 70062 Phone: 504-579-3746 | |
Cassandra Guillaume, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Clay St, Kenner, LA 70062 Phone: 504-278-4006 Fax: 504-278-4007 | |
Jonathan English, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Tulane Dr, Kenner, LA 70065 Phone: 504-952-5811 | |
Miss Jean Isaac, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Veterans Memorial Blvd, Kenner, LA 70062 Phone: 504-305-4704 Fax: 504-350-4709 |