| Professional Counseling Alternatives, Llc | |
|
6486 Highway 44 Gonzales LA 70737-8158 | |
| (225) 910-2477 | |
| (225) 647-3213 |
| Full Name | Professional Counseling Alternatives, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6486 Highway 44, Gonzales, Louisiana |
| Authorized Official Name and Position | Avis D Lawrence (OWNER) |
| Authorized Official Contact | 2259102477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Alternatives, Llc 6486 Highway 44 Gonzales LA 70737-8158 Ph: (225) 910-2477 | Professional Counseling Alternatives, Llc 6486 Highway 44 Gonzales LA 70737-8158 Ph: (225) 910-2477 |
| NPI Number | 1750646139 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/11/2012 |
| Medicare PECOS PAC ID | 6406012350 |
|---|---|
| Medicare Enrollment ID | O20120723000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750646139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Avis Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013208404 PECOS PAC ID: 5092716522 Enrollment ID: I20120723000474 |
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