| Lainie Breaux, Llc | |
|
3500 N Causeway Blvd Suite 1410 Metairie LA 70002-3527 | |
| (504) 838-9919 | |
| (504) 834-3101 |
| Full Name | Lainie Breaux, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3500 N Causeway Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Helene Waltzer Breaux (OWNER) |
| Authorized Official Contact | 5048389919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lainie Breaux, Llc 3500 N Causeway Blvd Suite 1410 Metairie LA 70002-3527 Ph: (504) 838-9919 | Lainie Breaux, Llc 3500 N Causeway Blvd Suite 1410 Metairie LA 70002-3527 Ph: (504) 838-9919 |
| NPI Number | 1205256302 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 04/16/2014 |
| Medicare PECOS PAC ID | 6608009063 |
|---|---|
| Medicare Enrollment ID | O20140509000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205256302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5126 (Louisiana) | Primary |
| Provider Name | Helene W Breaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356648562 PECOS PAC ID: 7012188725 Enrollment ID: I20110928000670 |
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