| Kendrick Martin Counseling Services, Llc | |
|
560 Belle Terre Blvd Ste B La Place LA 70068-1715 | |
| (504) 450-8263 | |
| Not Available |
| Full Name | Kendrick Martin Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 560 Belle Terre Blvd Ste B, La Place, Louisiana |
| Authorized Official Name and Position | Kendrick Martin (SOCIAL WORKER) |
| Authorized Official Contact | 5044508263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendrick Martin Counseling Services, Llc 8 Grigio Loop La Place LA 70068-6497 Ph: (504) 450-8263 | Kendrick Martin Counseling Services, Llc 560 Belle Terre Blvd Ste B La Place LA 70068-1715 Ph: (504) 450-8263 |
| NPI Number | 1396456380 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Medicare PECOS PAC ID | 4284004763 |
|---|---|
| Medicare Enrollment ID | O20221227001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396456380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kendrick J Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750747531 PECOS PAC ID: 9234507328 Enrollment ID: I20221121002782 |
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