| Connect Counseling LLC | |
|
12385 Haynes Street Clinton LA 70722 | |
| (225) 719-3680 | |
| Not Available |
| Full Name | Connect Counseling LLC |
|---|---|
| Speciality | Social Worker |
| Location | 12385 Haynes Street, Clinton, Louisiana |
| Authorized Official Name and Position | Brandilyn Phipps Hodges (SOCIAL WORKER/CLINICAL) |
| Authorized Official Contact | 2257193680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Counseling LLC Po Box 1818 Clinton LA 70722-1818 Ph: (225) 719-3680 | Connect Counseling LLC 12385 Haynes Street Clinton LA 70722 Ph: (225) 719-3680 |
| NPI Number | 1407504087 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 4688057342 |
|---|---|
| Medicare Enrollment ID | O20220814000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407504087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Brandilyn Phipps Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861833048 PECOS PAC ID: 5193968840 Enrollment ID: I20130827000895 |
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