| Access Serenity | |
|
187 S Tonti Dr Many LA 71449 | |
| (337) 802-1336 | |
| Not Available |
| Full Name | Access Serenity |
|---|---|
| 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 187 S Tonti Dr Many LA 71449 Ph: (337) 802-1336 | Access Serenity 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 M 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 | 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 |
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