Mrs Anne Marie Wallace, LPC | |
1505 N Florida St, Covington, LA 70433-1544 | |
(985) 900-1626 | |
Not Available |
Full Name | Mrs Anne Marie Wallace |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1505 N Florida St, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508453655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6914 (Louisiana) | Primary |
Entity Name | Start Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700156866 PECOS PAC ID: 0749403517 Enrollment ID: O20140523000249 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anne Marie Wallace, LPC 21226 Casril Dr, Mandeville, LA 70471-7614 Ph: (504) 491-0210 | Mrs Anne Marie Wallace, LPC 1505 N Florida St, Covington, LA 70433-1544 Ph: (985) 900-1626 |
Jessica Oddo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Shady Oaks Dr, Covington, LA 70433 Phone: 504-224-0288 | |
Crystal Younger, Counselor Medicare: Medicare Enrolled Practice Location: 1016 1/2 W 21st Ave, Covington, LA 70433 Phone: 985-276-4165 | |
Dr. Christy Montgomery, ED.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pecan Grove Ct, Covington, LA 70433 Phone: 985-516-1395 | |
Dr. Donald James Waterman Jr., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5001 Highway 190 East Service Rd Ste C1, Covington, LA 70433 Phone: 985-626-8700 Fax: 985-892-2055 | |
Ms. Gina Francesca Greco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4465 Highway 190 East Service Rd, Covington, LA 70433 Phone: 504-460-0289 | |
Ms. Dawn Brewer Ferrara, NCC, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 S Jefferson Ave Ste B, Covington, LA 70433 Phone: 985-373-6000 | |
Latoya Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19295 N 3rd St Ste 2, Covington, LA 70433 Phone: 985-400-5901 Fax: 985-400-5164 |