| Life Path Counseling Associates, Llc | |
|
221 Rue De Jean Ste 126a Lafayette LA 70508-8501 | |
| (337) 345-1305 | |
| (337) 201-9315 |
| Full Name | Life Path Counseling Associates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 221 Rue De Jean Ste 126a, Lafayette, Louisiana |
| Authorized Official Name and Position | Angela Hartman (OWNER/PRACTICE MANAGER) |
| Authorized Official Contact | 3373451305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Path Counseling Associates, Llc 1510 Chemin Agreable Rd Youngsville LA 70592-6202 Ph: (337) 345-1305 | Life Path Counseling Associates, Llc 221 Rue De Jean Ste 126a Lafayette LA 70508-8501 Ph: (337) 345-1305 |
| NPI Number | 1306530464 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 2466811757 |
|---|---|
| Medicare Enrollment ID | O20230705001422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306530464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marilyn Corona Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841768496 PECOS PAC ID: 4880053172 Enrollment ID: I20230705001539 |
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