| Mindful Solutions Mental Health Care | |
|
5455 Heberts Pass Lake Charles LA 70607-7705 | |
| (337) 513-8036 | |
| Not Available |
| Full Name | Mindful Solutions Mental Health Care |
|---|---|
| Speciality | Counselor |
| Location | 5455 Heberts Pass, Lake Charles, Louisiana |
| Authorized Official Name and Position | Caressa Kaough (NURSE PRACTITIONER) |
| Authorized Official Contact | 3375138036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Solutions Mental Health Care 5455 Heberts Pass Lake Charles LA 70607-7705 Ph: (337) 513-8036 | Mindful Solutions Mental Health Care 5455 Heberts Pass Lake Charles LA 70607-7705 Ph: (337) 513-8036 |
| NPI Number | 1932920998 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 0941738900 |
|---|---|
| Medicare Enrollment ID | O20250106000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932920998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Caressa Elzia Kaough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154629558 PECOS PAC ID: 1850829813 Enrollment ID: I20250106000138 |
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