| Access Serenity Of Mississippi Llc | |
|
187 S Tonti Dr Many LA 71449-5848 | |
| (337) 802-1336 | |
| Not Available |
| Full Name | Access Serenity Of Mississippi 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 Mississippi Llc 187 S Tonti Dr Many LA 71449-5848 Ph: (337) 802-1336 | Access Serenity Of Mississippi Llc 187 S Tonti Dr Many LA 71449-5848 Ph: (337) 802-1336 |
| NPI Number | 1801349238 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Medicare PECOS PAC ID | 2860780111 |
|---|---|
| Medicare Enrollment ID | O20161020001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801349238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lucius M Lampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689781007 PECOS PAC ID: 0547221798 Enrollment ID: I20041021000705 |
| Provider Name | Mohammad K. Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477723914 PECOS PAC ID: 0042349334 Enrollment ID: I20110725000378 |
| Provider Name | Valina Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447928148 PECOS PAC ID: 6608244371 Enrollment ID: I20221130002561 |
| Provider Name | Jason Michael Broussard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376744771 PECOS PAC ID: 2769508902 Enrollment ID: I20250117002957 |
| Provider Name | John Douglas Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285205740 PECOS PAC ID: 8123422755 Enrollment ID: I20250210000861 |
Access Serenity Of Louisiana, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 187 S Tonti Dr, Many, LA 71449 Phone: 337-802-1336 | |
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 | |
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 |