| Tessia Guillory Requena-ozene, | |
|
1405 W Pinhook Rd Ste 107h, Lafayette, LA 70503-3100 | |
| (337) 534-0770 | |
| Not Available |
| Full Name | Tessia Guillory Requena-ozene |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1405 W Pinhook Rd Ste 107h, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356865125 | NPI | - | NPPES |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230510001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Tessia Guillory Requena-ozene, Po Box 128, Youngsville, LA 70592-0128 Ph: (337) 550-5309 | Tessia Guillory Requena-ozene, 1405 W Pinhook Rd Ste 107h, Lafayette, LA 70503-3100 Ph: (337) 534-0770 |
Mrs. Kimberly Lachney, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Poydras St, Lafayette, LA 70501 Phone: 337-231-6365 | |
Tammbla Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2448 Johnston St Ste B, Lafayette, LA 70503 Phone: 337-233-7250 | |
Peter Brian Derouen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Industrial Pkwy Ste 105, Lafayette, LA 70508 Phone: 337-298-0990 | |
Lori Landry Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Tasvo Trl, Lafayette, LA 70508 Phone: 858-229-1629 | |
Ean Vincenzo Young, LPC, LMFT, CEAP, NCC Counselor Medicare: Medicare Enrolled Practice Location: 600 Jefferson St, Suite 902, Lafayette, LA 70501 Phone: 337-993-0000 Fax: 337-354-2410 | |
Christine Lerille Mcgill, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Ridgeway Dr Ste 326, Lafayette, LA 70503 Phone: 337-319-7082 | |
Alyssa Schwartzenburg, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 General Mouton Ave, Lafayette, LA 70501 Phone: 337-552-2046 Fax: 337-205-9893 |