| Kayce Domingue, | |
|
3648 Belle Vale Dr, Addis, LA 70710-3059 | |
| (225) 263-6385 | |
| Not Available |
| Full Name | Kayce Domingue |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 3648 Belle Vale Dr, Addis, 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 |
|---|---|---|---|
| 1205293768 | NPI | - | NPPES |
| 2902709 | Medicaid | LA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Azalea Health Services | 8628432028 | 42 |
| 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 |
|---|---|
| Kayce Domingue, 3648 Belle Vale Dr, Addis, LA 70710-3059 Ph: (225) 263-6385 | Kayce Domingue, 3648 Belle Vale Dr, Addis, LA 70710-3059 Ph: (225) 263-6385 |
Gina J. Martin, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3834 New Prosperity Ln Ste B, Addis, LA 70710 Phone: 504-975-6091 Fax: 888-716-7779 | |
Stacie Ausbon Holmes, M.A., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6711 Tanglewood Dr, Addis, LA 70710 Phone: 225-573-5098 | |
Demeisha Lasha Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3683 Cane Ridge Dr, Addis, LA 70710 Phone: 225-206-1826 | |
Victoria Marie Young, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4704 Belle Vue Dr, Addis, LA 70710 Phone: 225-610-2222 | |
Mrs. Delilah A. Anderson-martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3557 Karen Dr, Addis, LA 70710 Phone: 225-776-5620 | |
Jennifer Griffin-smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4098 Union Dr, Addis, LA 70710 Phone: 225-333-6418 |