Ms Charmaine Stith, LPC-S | |
2944 Ray Weiland Dr, Baker, LA 70714-3250 | |
(225) 993-1535 | |
Not Available |
Full Name | Ms Charmaine Stith |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2944 Ray Weiland Dr, Baker, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346533098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Louisiana) | Primary |
Entity Name | Miiboso Consultants |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275049611 PECOS PAC ID: 8729511365 Enrollment ID: O20241104002645 |
Mailing Address | Practice Location Address |
---|---|
Ms Charmaine Stith, LPC-S 2944 Ray Weiland Dr, Baker, LA 70714-3250 Ph: (225) 993-1535 | Ms Charmaine Stith, LPC-S 2944 Ray Weiland Dr, Baker, LA 70714-3250 Ph: (225) 993-1535 |
Mr. Micon Gaines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4206 N. Morvant Pl., Baker, LA 70714 Phone: 225-367-5310 | |
Racquel Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Groom Rd, Suite D, Baker, LA 70714 Phone: 225-218-4444 Fax: 225-448-3000 | |
Kimberly Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2944 Ray Weiland Dr, Baker, LA 70714 Phone: 225-636-2638 | |
Miles Potier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5105 W Shilo Ave, Baker, LA 70714 Phone: 225-202-0304 | |
Vernett L King-cage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6869 Laurel Hill Ave, Baker, LA 70714 Phone: 225-278-1584 | |
Gregory Bonvillian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Main St, Baker, LA 70714 Phone: 225-778-6783 Fax: 225-612-6602 | |
Phylea Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Groom Rd Ste D, Baker, LA 70714 Phone: 225-218-4444 |