| 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 | 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 | Shelley A Desselle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184069601 PECOS PAC ID: 5092955203 Enrollment ID: I20130711000862 |
| 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 | Laura Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144697657 PECOS PAC ID: 8820417520 Enrollment ID: I20200930000283 |
| Provider Name | Whitney A Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205006244 PECOS PAC ID: 4082914502 Enrollment ID: I20210304001264 |
| 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 | Sandriekia Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124475710 PECOS PAC ID: 5991150807 Enrollment ID: I20231012003319 |
| 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 | Cecilia Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891343257 PECOS PAC ID: 1759732043 Enrollment ID: I20240111001086 |
| Provider Name | Stephen M. Maffei |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013361633 PECOS PAC ID: 4587000633 Enrollment ID: I20240311003851 |
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 Options 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 | |
Christie Therapy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506 Phone: 337-981-9940 Fax: 337-981-2531 | |
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 |