| Gulf Coast Behavioral Health, Llc | |
|
37283 Swamp Rd Ste 803 Prairieville LA 70769-3329 | |
| (225) 254-9589 | |
| (225) 208-7267 |
| Full Name | Gulf Coast Behavioral Health, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 37283 Swamp Rd Ste 803, Prairieville, Louisiana |
| Authorized Official Name and Position | Cristy Stibal (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2088211032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Behavioral Health, Llc 37283 Swamp Rd Ste 803 Prairieville LA 70769-3329 Ph: (225) 254-9589 | Gulf Coast Behavioral Health, Llc 37283 Swamp Rd Ste 803 Prairieville LA 70769-3329 Ph: (225) 254-9589 |
| NPI Number | 1043956527 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 6800275488 |
|---|---|
| Medicare Enrollment ID | O20220628002932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043956527 | NPI | - | NPPES |
| Provider Name | Monique P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588184220 PECOS PAC ID: 6507130341 Enrollment ID: I20170918003240 |
| Provider Name | Tina D Malonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902437270 PECOS PAC ID: 2961801295 Enrollment ID: I20210519000203 |
| Provider Name | Karl Winegar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780138206 PECOS PAC ID: 5890052146 Enrollment ID: I20220628002806 |
Irise Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37383 Saint Marie Ave, Prairieville, LA 70769 Phone: 225-978-2824 | |
The Well Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17534 Old Jefferson Hwy, Suite B2, Prairieville, LA 70769 Phone: 225-692-4113 | |
Cypress Center For Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38384 Highway 42, Suite B, Prairieville, LA 70769 Phone: 225-313-6716 Fax: 225-313-6721 | |
Ally Mental Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16270 Airline Hwy Ste D, Prairieville, LA 70769 Phone: 225-402-2299 Fax: 866-258-9870 | |
New Direction Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37459 Ultima Plaza Blvd Ste B181, Prairieville, LA 70769 Phone: 225-235-8108 | |
Rustic Roots Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17541 Eagles Perch Dr, Prairieville, LA 70769 Phone: 337-254-2629 |