| Nicholas Brown, | |
| 
					1614 E Main St Ste D, New Iberia, LA 70560-4056  | |
| (337) 256-5917 | |
| Not Available | 
| Full Name | Nicholas Brown | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 1614 E Main St Ste D, New Iberia, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205281342 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary | 
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Entity Name | 360 Mental Health, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013314012 PECOS PAC ID: 8729517347 Enrollment ID: O20250128002664  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicholas Brown, 1614 E Main St Ste D, New Iberia, LA 70560-4056 Ph: () -  | Nicholas Brown, 1614 E Main St Ste D, New Iberia, LA 70560-4056 Ph: (337) 256-5917  | 
Camille Jarrell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Allen St, New Iberia, LA 70563 Phone: 337-519-1336  | |
Muhammad Ayers,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 Jefferson Ter Ste E, New Iberia, LA 70560 Phone: 337-256-8704  | |
Mr. William Floyd Dockett Ii, MA, LAC, SAP, CCGC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Field St, New Iberia, LA 70560 Phone: 267-235-3036 Fax: 480-247-4641  | |
Desiree Drexler, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1614 E Main St, Suite C, New Iberia, LA 70560 Phone: 337-369-6600  | |
Jazzlyn Harris,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Main St Ste 200, New Iberia, LA 70560 Phone: 337-321-9204  | |
John K Rawe, LPC, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 449 E Saint Peter St, New Iberia, LA 70560 Phone: 337-321-9204  | |
Valarie Prince, LAC, , PLPC Counselor Medicare: Medicare Enrolled Practice Location: 611 W Admiral Doyle Dr, New Iberia, LA 70560 Phone: 337-373-2135 Fax: 337-373-0129  |