| Melissa Abigail Lozano, | |
|
622 Burgessville Rd, Ruston, LA 71270-5154 | |
| (318) 224-7223 | |
| (318) 415-1004 |
| Full Name | Melissa Abigail Lozano |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 622 Burgessville Rd, Ruston, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447881271 | NPI | - | NPPES |
| 3074544 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT1576 (Louisiana) | Primary |
| 106H00000X | Marriage & Family Therapist | AMFT117572 (California) | Secondary |
| Entity Name | Thinktrek Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215415229 PECOS PAC ID: 1951754951 Enrollment ID: O20240125003776 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Abigail Lozano, 2402 Kavanaugh Rd, Ruston, LA 71270-9541 Ph: (424) 645-2058 | Melissa Abigail Lozano, 622 Burgessville Rd, Ruston, LA 71270-5154 Ph: (318) 224-7223 |
Dr. Mary Coleen Speed, LMFT/PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 211 W Alabama Ave, Ruston, LA 71270 Phone: 318-680-5960 Fax: 318-274-3114 | |
Olivia Mason, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 413 North Homer Street, Ruston, LA 71270 Phone: 318-436-4197 | |
Sylvia Rachal Mills, MA. MS. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 622 Burgessville Rd, Ruston, LA 71270 Phone: 318-224-7223 Fax: 318-415-1004 |