| Northeast Counseling, Llc | |
|
343 N Washington St Bastrop LA 71220-3849 | |
| (318) 974-5075 | |
| (844) 270-1958 |
| Full Name | Northeast Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 343 N Washington St, Bastrop, Louisiana |
| Authorized Official Name and Position | Terrance Key (BUSINESS OWNER) |
| Authorized Official Contact | 3186807792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Counseling, Llc 343 N Washington St Bastrop LA 71220-3849 Ph: (318) 974-5075 | Northeast Counseling, Llc 343 N Washington St Bastrop LA 71220-3849 Ph: (318) 974-5075 |
| NPI Number | 1497113559 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 7911395579 |
|---|---|
| Medicare Enrollment ID | O20211101001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497113559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kaissy Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275813834 PECOS PAC ID: 0446415418 Enrollment ID: I20120626000585 |
Communihealth Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 N Franklin St, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-6339 | |
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Communihealth Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 North Franklin Street, Bastrop, LA 71220 Phone: 318-283-8887 | |
Obh-bastrop Addictive Disorders Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Franklin St, Bastrop, LA 71220 Phone: 318-283-0868 Fax: 318-283-0875 | |
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