| Ms Monetta Latrice Givens, LPC | |
|
451 E Madison Ave, Bastrop, LA 71220-3829 | |
| (318) 283-0868 | |
| Not Available |
| Full Name | Ms Monetta Latrice Givens |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 451 E Madison Ave, Bastrop, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649387671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 987 (Louisiana) | Secondary |
| 101YP2500X | Counselor - Professional | 4654 (Louisiana) | Primary |
| Entity Name | Northeast Delta Human Services Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033551833 PECOS PAC ID: 2961726005 Enrollment ID: O20150121001268 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Monetta Latrice Givens, LPC 451 E Madison Ave, Bastrop, LA 71220-3829 Ph: (318) 283-0868 | Ms Monetta Latrice Givens, LPC 451 E Madison Ave, Bastrop, LA 71220-3829 Ph: (318) 283-0868 |
Annie Massey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Curt Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Lee Antwine Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, 209 West Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Randy Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Franklin St, Bastrop, LA 71220 Phone: 318-410-1062 | |
Adrian Burnette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Nicole Dantzler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Felicia Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 |