| Miss Mary Meaux, | |
|
230 Roberts Dr, New Roads, LA 70760-2661 | |
| (225) 638-5879 | |
| Not Available |
| Full Name | Miss Mary Meaux |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 230 Roberts Dr, New Roads, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922802594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Miss Mary Meaux, 1600 N Herpin Ave, Kaplan, LA 70548-5619 Ph: (337) 652-8120 | Miss Mary Meaux, 230 Roberts Dr, New Roads, LA 70760-2661 Ph: (225) 638-5879 |
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 | |
Mrs. Deanderia D Gremillion, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 230 Roberts Dr Ste H, New Roads, LA 70760 Phone: 225-618-5959 Fax: 225-238-8330 |