| Leah Gibson-smith, LPC | |
|
1003 S Spruce St, Vivian, LA 71082-3200 | |
| (318) 375-3239 | |
| (318) 375-2755 |
| Full Name | Leah Gibson-smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1003 S Spruce St, Vivian, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326427048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3160 (Louisiana) | Primary |
| 106H00000X | Marriage & Family Therapist | 1037 (Louisiana) | Secondary |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Gibson-smith, LPC 1003 S Spruce St, Vivian, LA 71082-3200 Ph: (318) 375-3239 | Leah Gibson-smith, LPC 1003 S Spruce St, Vivian, LA 71082-3200 Ph: (318) 375-3239 |
Mr. Lenorris Rainey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Edward Drive, Vivian, LA 71082 Phone: 318-918-9829 | |
Ladarion Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14391 Cass County Rd, Vivian, LA 71082 Phone: 318-218-2288 | |
Terrence Quarles, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 West Louisiana Ave, Vivian, LA 71082 Phone: 318-375-2780 Fax: 318-375-2781 | |
Mark Wendell, LPC, MA, MAC Counselor Medicare: Medicare Enrolled Practice Location: 13838 Boyter Ln, Vivian, LA 71082 Phone: 318-519-9034 Fax: 318-375-2643 | |
Ms. Lauretta Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Mississippi Cir, Vivian, LA 71082 Phone: 318-936-3641 | |
Laquita Young, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 S Pine St Ste C, Vivian, LA 71082 Phone: 318-375-2780 Fax: 318-375-2781 |