| Mary Catherine Bienvenu Ma Lpc Lac Llc | |
|
300 Nolan Trce Leesville LA 71446-3914 | |
| (337) 842-1516 | |
| Not Available |
| Full Name | Mary Catherine Bienvenu Ma Lpc Lac Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Nolan Trce, Leesville, Louisiana |
| Authorized Official Name and Position | Mary Catherine Bienvenu (SOLE MEMBER OF LLC) |
| Authorized Official Contact | 3378421516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Catherine Bienvenu Ma Lpc Lac Llc 2013 Slagle Rd Leesville LA 71446-2060 Ph: (337) 842-1516 | Mary Catherine Bienvenu Ma Lpc Lac Llc 300 Nolan Trce Leesville LA 71446-3914 Ph: (337) 842-1516 |
| NPI Number | 1740536762 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 02/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740536762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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