| Acadian Holistic Services Llc | |
|
2829 4th Ave Ste 215 Lake Charles LA 70601-7887 | |
| (337) 707-3872 | |
| Not Available |
| Full Name | Acadian Holistic Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2829 4th Ave Ste 215, Lake Charles, Louisiana |
| Authorized Official Name and Position | Michael Johnson (PROGRAM ADMINISTRATOR/OWNER) |
| Authorized Official Contact | 3377073872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadian Holistic Services Llc 2829 4th Ave # 215 Lake Charles LA 70601-7887 Ph: (337) 429-5105 | Acadian Holistic Services Llc 2829 4th Ave Ste 215 Lake Charles LA 70601-7887 Ph: (337) 707-3872 |
| NPI Number | 1275240228 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 0042671950 |
|---|---|
| Medicare Enrollment ID | O20230725001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275240228 | NPI | - | NPPES |
| Provider Name | Harris N Rowzie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477291441 PECOS PAC ID: 7810358843 Enrollment ID: I20240419002903 |
| Provider Name | Charles L Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225402654 PECOS PAC ID: 3476993171 Enrollment ID: I20240429001552 |
| Provider Name | Thomas M Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376073239 PECOS PAC ID: 1850768177 Enrollment ID: I20240429003075 |
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