Shelby Deason Smith, LPC | |
4787 Highway 151, Downsville, LA 71234-5145 | |
(318) 283-8887 | |
Not Available |
Full Name | Shelby Deason Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4787 Highway 151, Downsville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659736809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PLC6441 (Louisiana) | Primary |
Entity Name | Ward 3 4 & 10 Hospital Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124277728 PECOS PAC ID: 8123011137 Enrollment ID: O20040406000625 |
Entity Name | Morehouse Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053373191 PECOS PAC ID: 1254343593 Enrollment ID: O20060703000063 |
Mailing Address | Practice Location Address |
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Shelby Deason Smith, LPC Po Box 792, Bastrop, LA 71221-0792 Ph: (318) 283-8887 | Shelby Deason Smith, LPC 4787 Highway 151, Downsville, LA 71234-5145 Ph: (318) 283-8887 |
Natalie Danielle Bullock, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4787 Highway 151, Downsville, LA 71234 Phone: 985-805-6068 Fax: 504-930-4019 | |
Myriah Garaudy, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 470 Old New Orleans Rd, Downsville, LA 71234 Phone: 985-507-2713 |