| Ronald A Goebel & Mark P Vigen Ptr | |
|
3341 Youree Dr Ste 20a Shreveport LA 71105-2149 | |
| (318) 425-2000 | |
| (318) 424-2601 |
| Full Name | Ronald A Goebel & Mark P Vigen Ptr |
|---|---|
| Speciality | Psychologist |
| Location | 3341 Youree Dr Ste 20a, Shreveport, Louisiana |
| Authorized Official Name and Position | Ronald A. Goebel (PARTNER) |
| Authorized Official Contact | 3184252000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald A Goebel & Mark P Vigen Ptr 3341 Youree Dr Ste 20a Shreveport LA 71105-2149 Ph: (318) 425-2000 | Ronald A Goebel & Mark P Vigen Ptr 3341 Youree Dr Ste 20a Shreveport LA 71105-2149 Ph: (318) 425-2000 |
| NPI Number | 1477732188 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Medicare PECOS PAC ID | 2163582925 |
|---|---|
| Medicare Enrollment ID | O20081124000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477732188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark P Vigen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457329120 PECOS PAC ID: 2062572829 Enrollment ID: I20081124000484 |
| Provider Name | Michael Todd Lobrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750761847 PECOS PAC ID: 8022327626 Enrollment ID: I20151022000242 |
| Provider Name | Jennifer L Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114347846 PECOS PAC ID: 1951626035 Enrollment ID: I20170728000500 |
Cbs Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Hawn Ave, Shreveport, LA 71107 Phone: 317-617-5869 Fax: 317-675-0226 | |
Roan Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Industrial Loop # 102, Shreveport, LA 71105 Phone: 318-798-4444 Fax: 318-795-4748 | |
Sunshine Mental Health Counseling Service, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Youree Dr, Bldg B Suite 426, Shreveport, LA 71104 Phone: 318-617-4385 | |
Clw Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 Knight St Ste 112, Shreveport, LA 71105 Phone: 318-510-0612 | |
Unshattered Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Texas St Ste 1050-04, Shreveport, LA 71101 Phone: 318-688-8218 | |
Travelers Counseling Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Marshall St, Shreveport, LA 71101 Phone: 318-606-5105 Fax: 318-606-5908 | |
Mindful Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 Albemarle Dr Ste 1403, Shreveport, LA 71106 Phone: 318-471-3072 |