| Mr Travis Johnson, LPC, LAC | |
|
5200 Lapalco Blvd, Suite # 2, Marrero, LA 70072-4254 | |
| (504) 265-8115 | |
| Not Available |
| Full Name | Mr Travis Johnson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 5200 Lapalco Blvd, Marrero, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356611719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 722 (Louisiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 4097 (Louisiana) | Primary |
| Entity Name | Jefferson Community Health Care Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558419275 PECOS PAC ID: 7911961115 Enrollment ID: O20041117000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Travis Johnson, LPC, LAC 5200 Lapalco Blvd, Suite # 2, Marrero, LA 70072-4254 Ph: (504) 265-8115 | Mr Travis Johnson, LPC, LAC 5200 Lapalco Blvd, Suite # 2, Marrero, LA 70072-4254 Ph: (504) 265-8115 |
Belinda Joy Varnado-wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 Avenue C, Marrero, LA 70072 Phone: 504-383-7448 Fax: 504-946-5510 | |
Mrs. Stephanie Daniele Neese-thomason, MASTER OF SCIENCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4657 Westbank Expy Ste 2153, Marrero, LA 70072 Phone: 504-323-5158 | |
Princess-india Philicie Powell, LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 5001 Westbank Expy Ste 100, Marrero, LA 70072 Phone: 504-349-8801 | |
Kimberly Nicole Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6145 Adam Dr, Marrero, LA 70072 Phone: 504-322-6496 | |
Mrs. Amelia Noel, M ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2508 Colorado Dr, Marrero, LA 70072 Phone: 504-261-0222 | |
Jasmine Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6217 West Bank Expressway, Marrero, LA 70072 Phone: 504-533-9761 | |
Juaniece Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5001 Westbank Expy, Marrero, LA 70072 Phone: 504-838-5215 |