| Mmg Archer Institute | |
|
2829 4th Ave Ste 150 Lake Charles LA 70601-7897 | |
| (337) 480-7800 | |
| (337) 474-4552 |
| Full Name | Mmg Archer Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2829 4th Ave Ste 150, Lake Charles, Louisiana |
| Authorized Official Name and Position | Dawn Johnson-hatcher (CFO) |
| Authorized Official Contact | 3374942094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmg Archer Institute Po Box 123977 Dept 3977 Dallas TX 75312-0001 Ph: (337) 494-2921 | Mmg Archer Institute 2829 4th Ave Ste 150 Lake Charles LA 70601-7897 Ph: (337) 480-7800 |
| NPI Number | 1952897688 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 7719227115 |
|---|---|
| Medicare Enrollment ID | O20190321002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952897688 | NPI | - | NPPES |
| 2509551 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Phyllis D Sensat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457686370 PECOS PAC ID: 1254381205 Enrollment ID: I20050127000089 |
| Provider Name | David Michael Murdock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508830316 PECOS PAC ID: 4183648116 Enrollment ID: I20060119000037 |
| Provider Name | Sarah J Cooling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457525453 PECOS PAC ID: 8123107422 Enrollment ID: I20080512000044 |
| Provider Name | Lloyd Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093774879 PECOS PAC ID: 2264615558 Enrollment ID: I20110323001058 |
| Provider Name | Michael B Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174753453 PECOS PAC ID: 4789846791 Enrollment ID: I20130813000841 |
| Provider Name | Samantha C Larocque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497141683 PECOS PAC ID: 1951622067 Enrollment ID: I20150602000049 |
| Provider Name | Lindsey Bufford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497131379 PECOS PAC ID: 3476861808 Enrollment ID: I20151003000092 |
| Provider Name | Pippa R Soileau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770622235 PECOS PAC ID: 5698062107 Enrollment ID: I20160927003083 |
| Provider Name | Mario Vicente Valencia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548623515 PECOS PAC ID: 5698049245 Enrollment ID: I20180731000205 |
| Provider Name | Heather Spallino Duplechain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053898403 PECOS PAC ID: 9638420060 Enrollment ID: I20180925002191 |
| Provider Name | Christopher M Arceneaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831743111 PECOS PAC ID: 9032542147 Enrollment ID: I20191203003199 |
| Provider Name | Valarie Golden Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285288951 PECOS PAC ID: 1355762378 Enrollment ID: I20200529002412 |
| Provider Name | Brennan Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982370045 PECOS PAC ID: 8628468089 Enrollment ID: I20211130000611 |
| Provider Name | Zachary Cameron Ryder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942689211 PECOS PAC ID: 1951681709 Enrollment ID: I20220926001087 |
| Provider Name | Miriam E Werquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144681396 PECOS PAC ID: 3678938438 Enrollment ID: I20230501000095 |
| Provider Name | Brantley Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205527819 PECOS PAC ID: 7517326010 Enrollment ID: I20230630001591 |
| Provider Name | Alexis Andrea Courville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831870948 PECOS PAC ID: 7719334119 Enrollment ID: I20231107000942 |
| Provider Name | Elizabeth M Ogea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275906372 PECOS PAC ID: 4385022318 Enrollment ID: I20240101000190 |
| Provider Name | Molly G Larson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336100932 PECOS PAC ID: 8224488358 Enrollment ID: I20240102001224 |
| Provider Name | Jeanne Wolf |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881653665 PECOS PAC ID: 3476905969 Enrollment ID: I20240119003697 |
| Provider Name | Stacy Lee Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801300686 PECOS PAC ID: 7315383569 Enrollment ID: I20240310000011 |
Gulf Coast Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Pujo St Ste A, Lake Charles, LA 70601 Phone: 337-436-6622 Fax: 337-436-4403 | |
New Beginnings Community Outreach Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lakeshore Dr Ste 1640e, Lake Charles, LA 70629 Phone: 337-794-5351 Fax: 337-433-4894 | |
Family And Youth Counseling Agency, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Louie St, Lake Charles, LA 70601 Phone: 337-436-9533 Fax: 337-439-9941 | |
Saint Nicholas Center For Early Intervention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Broad St, Suite B, Lake Charles, LA 70601 Phone: 337-491-0800 Fax: 337-491-0508 | |
Volunteers Of America Greater Baton Rouge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Oak Park Blvd, Suite 421, Lake Charles, LA 70601 Phone: 225-387-0061 | |
Bloom Behavioral Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E College St, Lake Charles, LA 70605 Phone: 337-240-6038 | |
Jody Davidson Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 315 Alamo St, Lake Charles, LA 70601 Phone: 337-794-1141 |