| Kathleen Marie Shaw, LPC | |
|
230 Roberts Dr Ste H, New Roads, LA 70760-2661 | |
| (225) 618-7800 | |
| (225) 238-8330 |
| Full Name | Kathleen Marie Shaw |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 230 Roberts Dr Ste H, New Roads, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477080927 | NPI | - | NPPES |
| 2696785 | Medicaid | LA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innis Community Health Center, Inc | 9931130358 | 17 |
| Entity Name | Innis Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205858388 PECOS PAC ID: 9931130358 Enrollment ID: O20050825000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Marie Shaw, LPC 6450 La Highway 1, Batchelor, LA 70715-3212 Ph: (225) 618-5015 | Kathleen Marie Shaw, LPC 230 Roberts Dr Ste H, New Roads, LA 70760-2661 Ph: (225) 618-7800 |
Nastashia Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Carolina St, New Roads, LA 70760 Phone: 225-638-8449 | |
Myra Odom-betz, MHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Carolina St, New Roads, LA 70760 Phone: 225-638-8449 | |
Mr. Ken Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Carolina St, New Roads, LA 70760 Phone: 225-638-8449 | |
Robbin Trim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9041 Delta Place Rd, New Roads, LA 70760 Phone: 225-718-7005 | |
Ronald John Rodney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12335 Clay St Apt D, New Roads, LA 70760 Phone: 405-501-2829 | |
Ms. Robin Diane Moeller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 112 W. Main Street, New Roads, LA 70760 Phone: 225-618-8888 |