| Azalea Health Services | |
|
725 Brentwood Blvd Lafayette LA 70503-4405 | |
| (337) 393-0678 | |
| (337) 279-2705 |
| Full Name | Azalea Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 725 Brentwood Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Kenneth Maggard (PRESIDENT) |
| Authorized Official Contact | 3375191834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea Health Services 725 Brentwood Blvd Lafayette LA 70503-4405 Ph: (337) 393-0678 | Azalea Health Services 725 Brentwood Blvd Lafayette LA 70503-4405 Ph: (337) 393-0678 |
| NPI Number | 1043999170 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/15/2023 |
| Medicare PECOS PAC ID | 8628432028 |
|---|---|
| Medicare Enrollment ID | O20230919002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043999170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra K Milson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225206709 PECOS PAC ID: 3577533249 Enrollment ID: I20040729000641 |
| Provider Name | Martha T Parham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205051612 PECOS PAC ID: 2668449083 Enrollment ID: I20040915000375 |
| Provider Name | Cherie Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053645614 PECOS PAC ID: 6901948546 Enrollment ID: I20100120000891 |
| Provider Name | Ruth Landis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376770487 PECOS PAC ID: 6507030616 Enrollment ID: I20120215000851 |
| Provider Name | Timothy H Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689919797 PECOS PAC ID: 0840444956 Enrollment ID: I20130125000031 |
| Provider Name | Terrie A Ducote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952644783 PECOS PAC ID: 2466675723 Enrollment ID: I20140514001637 |
| Provider Name | Julie Mouton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104066141 PECOS PAC ID: 3072837616 Enrollment ID: I20150130000842 |
| Provider Name | Nicole G Crowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225459696 PECOS PAC ID: 3779801147 Enrollment ID: I20150415000419 |
| Provider Name | Regina Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720231624 PECOS PAC ID: 4082971320 Enrollment ID: I20171122000511 |
| Provider Name | Beverly Hopkins Morgan-fullilove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114214327 PECOS PAC ID: 7214182880 Enrollment ID: I20180103000714 |
| Provider Name | Kimberly Wesson-guidry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699165928 PECOS PAC ID: 7618226200 Enrollment ID: I20200708000021 |
| Provider Name | Laura Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144697657 PECOS PAC ID: 8820417520 Enrollment ID: I20200930000283 |
| Provider Name | Ann M Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104438720 PECOS PAC ID: 5991117822 Enrollment ID: I20201216002798 |
| Provider Name | Michelle Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265916159 PECOS PAC ID: 6406227149 Enrollment ID: I20230117002158 |
| Provider Name | Christopher Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417272121 PECOS PAC ID: 0345403481 Enrollment ID: I20230821001811 |
| Provider Name | Anita Obenschain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790009983 PECOS PAC ID: 1759742851 Enrollment ID: I20230919002420 |
| Provider Name | Mary James Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861948143 PECOS PAC ID: 2365836533 Enrollment ID: I20230928000451 |
| Provider Name | Lakeithia Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477178770 PECOS PAC ID: 9739534116 Enrollment ID: I20231005001776 |
| Provider Name | Sara Darling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205516580 PECOS PAC ID: 1153776448 Enrollment ID: I20231005002635 |
| Provider Name | Breyan Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356128409 PECOS PAC ID: 5092160333 Enrollment ID: I20231006001199 |
| Provider Name | Angela Meche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235886458 PECOS PAC ID: 5991150641 Enrollment ID: I20231016002095 |
| Provider Name | Cynthia Ann Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487963013 PECOS PAC ID: 6002261658 Enrollment ID: I20231017001804 |
| Provider Name | Leah L Pace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275907560 PECOS PAC ID: 4688020910 Enrollment ID: I20231023003645 |
| Provider Name | Titus Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053785287 PECOS PAC ID: 0345696597 Enrollment ID: I20231025001119 |
| Provider Name | Sommer Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245919323 PECOS PAC ID: 1355797440 Enrollment ID: I20231025003379 |
| Provider Name | Adrienne Landry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922663467 PECOS PAC ID: 3870949969 Enrollment ID: I20231025003569 |
| Provider Name | Tyra Valteau-sorapuru |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225789407 PECOS PAC ID: 5799132270 Enrollment ID: I20231104000413 |
| Provider Name | Lisa Staab |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396299442 PECOS PAC ID: 7012282023 Enrollment ID: I20231115000002 |
| Provider Name | Suzanne R Simon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457853699 PECOS PAC ID: 2466895685 Enrollment ID: I20240205002835 |
| Provider Name | Stephen M. Maffei |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013361633 PECOS PAC ID: 4587000633 Enrollment ID: I20240311003851 |
| Provider Name | Terria Ebarb Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306580378 PECOS PAC ID: 8527407923 Enrollment ID: I20240418001162 |
| Provider Name | Shawn Campbell Joseph |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659655256 PECOS PAC ID: 3870932155 Enrollment ID: I20240419000359 |
| Provider Name | Andrew J Hebert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790298370 PECOS PAC ID: 0840630737 Enrollment ID: I20240425001268 |
| Provider Name | Erika Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083005649 PECOS PAC ID: 9931540515 Enrollment ID: I20240514001607 |
| Provider Name | Margaret Sigue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073980587 PECOS PAC ID: 5890237192 Enrollment ID: I20240601000282 |
| Provider Name | Karla Sayer Wilburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669249900 PECOS PAC ID: 8123560893 Enrollment ID: I20240610001699 |
| Provider Name | Teresa Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205459666 PECOS PAC ID: 0648712109 Enrollment ID: I20240612000694 |
| Provider Name | Amanda Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215397922 PECOS PAC ID: 6800339201 Enrollment ID: I20240613001778 |
| Provider Name | Joshua Paul Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194182808 PECOS PAC ID: 1557805058 Enrollment ID: I20240625004017 |
| Provider Name | Dione White Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437515004 PECOS PAC ID: 0042754764 Enrollment ID: I20240704000185 |
| Provider Name | Juliet A Granger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952874695 PECOS PAC ID: 5395281315 Enrollment ID: I20240725002387 |
| Provider Name | Amelia George |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902355001 PECOS PAC ID: 2466990452 Enrollment ID: I20240821004519 |
| Provider Name | Nicole Varney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588188189 PECOS PAC ID: 0648719450 Enrollment ID: I20240824000269 |
| Provider Name | Krystyn Katelynn Dupree |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659738680 PECOS PAC ID: 1456890144 Enrollment ID: I20240826003156 |
| Provider Name | Jenifer Levine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669909446 PECOS PAC ID: 5597204685 Enrollment ID: I20240904000126 |
| Provider Name | Melissa Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861120057 PECOS PAC ID: 4486194230 Enrollment ID: I20240909001126 |
| Provider Name | Johanna I Martinez-rink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518325711 PECOS PAC ID: 9436699139 Enrollment ID: I20240909003551 |
| Provider Name | Aeriale Bias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144694274 PECOS PAC ID: 6406397041 Enrollment ID: I20240923001575 |
| Provider Name | Tiffany R Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326878307 PECOS PAC ID: 9032640339 Enrollment ID: I20240926003636 |
| Provider Name | Keyonia H Iglus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912474941 PECOS PAC ID: 0345774667 Enrollment ID: I20241108003465 |
| Provider Name | Stephanie De Lahoussaye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437375375 PECOS PAC ID: 1951835297 Enrollment ID: I20241109000415 |
| Provider Name | Latara Leggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952687212 PECOS PAC ID: 7416482732 Enrollment ID: I20241123000103 |
| Provider Name | Talmadge Felix Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184080103 PECOS PAC ID: 9739615733 Enrollment ID: I20241213003420 |
| Provider Name | Steven Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568926970 PECOS PAC ID: 4688101157 Enrollment ID: I20241222000049 |
| Provider Name | Stacy Elizabeth Krider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134943467 PECOS PAC ID: 1456889468 Enrollment ID: I20250103001595 |
| Provider Name | Katie Ledet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386016715 PECOS PAC ID: 2466972005 Enrollment ID: I20250225004108 |
| Provider Name | Emily Elizabeth Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255464566 PECOS PAC ID: 7911428123 Enrollment ID: I20250304003056 |
| Provider Name | Crystal Renee Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568769586 PECOS PAC ID: 0345763538 Enrollment ID: I20250328000483 |
| Provider Name | Ashley Danyelle Crockham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457177040 PECOS PAC ID: 9830617653 Enrollment ID: I20250515002225 |
| Provider Name | Jeffrey Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679139620 PECOS PAC ID: 6103335864 Enrollment ID: I20250603004039 |
Wael Alabdulkarim, Md, Apmc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Rue Iberville Ste 110, Lafayette, LA 70508 Phone: 337-234-0630 Fax: 337-234-0632 | |
Louisiana Health & Rehabilitation Coptions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Webb St, Lafayette, LA 70501 Phone: 337-267-7375 Fax: 337-269-5616 | |
Pathway Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508 Phone: 337-534-4214 Fax: 337-484-1405 | |
Devin Dupre Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 315 S College Rd, Lafayette, LA 70503 Phone: 337-349-3103 | |
Heaton-mccoy Psychology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Demanade Blvd, Lafayette, LA 70503 Phone: 337-534-8679 | |
A Lewis Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Robley Dr Apt 7308, Lafayette, LA 70503 Phone: 714-768-8189 | |
The Psychiatric Medicine Institute Of La Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 850 Kaliste Saloom Rd, Ste 115, Lafayette, LA 70508 Phone: 337-264-1991 Fax: 337-264-1993 |