| Access Serenity Of Louisiana, Llc | |
|
187 S Tonti Dr Many LA 71449 | |
| (337) 802-1336 | |
| Not Available |
| Full Name | Access Serenity Of Louisiana, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 187 S Tonti Dr, Many, Louisiana |
| Authorized Official Name and Position | Timothy Jason Reed (CEO) |
| Authorized Official Contact | 3378021336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Serenity Of Louisiana, Llc 187 S Tonti Dr Many LA 71449 Ph: (337) 802-1336 | Access Serenity Of Louisiana, Llc 187 S Tonti Dr Many LA 71449 Ph: (337) 802-1336 |
| NPI Number | 1104378629 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/07/2021 |
| Medicare PECOS PAC ID | 4385985803 |
|---|---|
| Medicare Enrollment ID | O20190410002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104378629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mohammad K. Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477723914 PECOS PAC ID: 0042349334 Enrollment ID: I20100525000670 |
| Provider Name | Jason Michael Broussard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376744771 PECOS PAC ID: 2769508902 Enrollment ID: I20100925000012 |
| Provider Name | Christopher Guedry |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1790076321 PECOS PAC ID: 8224318092 Enrollment ID: I20161213002550 |
| Provider Name | Carleen Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124562871 PECOS PAC ID: 0547545659 Enrollment ID: I20210506002773 |
| Provider Name | Rebecca Pistorius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518353671 PECOS PAC ID: 7416250279 Enrollment ID: I20210722003227 |
| Provider Name | John Douglas Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285205740 PECOS PAC ID: 8123422755 Enrollment ID: I20211217000822 |
| Provider Name | Zachary Cameron Ryder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942689211 PECOS PAC ID: 1951681709 Enrollment ID: I20220926001087 |
| Provider Name | Jaimie Alechia Treadway Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184308371 PECOS PAC ID: 3577927128 Enrollment ID: I20230914002593 |
| Provider Name | Tara Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366945388 PECOS PAC ID: 2769851344 Enrollment ID: I20240625004328 |
Vanguard Behavioral Health Consultants, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Highland Dr, Suite A, Many, LA 71449 Phone: 318-517-6222 | |
Department Of Health & Hospitals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 Highland Drive, Many, LA 71449 Phone: 318-256-4119 Fax: 318-256-4171 | |
Northwest Louisiana Human Services District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 Highland Dr, Many, LA 71449 Phone: 318-256-4119 Fax: 318-256-4171 | |
Access Serenity Of Mississippi Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 187 S Tonti Dr, Many, LA 71449 Phone: 337-802-1336 | |
Project Celebration, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Main St, Many, LA 71449 Phone: 318-256-6242 Fax: 318-256-2064 |