| Real Talk Therapeutic Services Llc | |
|
3350 Ridgelake Dr Ste 200 Metairie LA 70002-3831 | |
| (504) 434-0017 | |
| Not Available |
| Full Name | Real Talk Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3350 Ridgelake Dr Ste 200, Metairie, Louisiana |
| Authorized Official Name and Position | Jillana Vessel-thompson (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5044340017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Talk Therapeutic Services Llc 3350 Ridgelake Dr Ste 200 Metairie LA 70002-3831 Ph: (504) 434-0017 | Real Talk Therapeutic Services Llc 3350 Ridgelake Dr Ste 200 Metairie LA 70002-3831 Ph: (504) 434-0017 |
| NPI Number | 1588324693 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Medicare PECOS PAC ID | 3476915869 |
|---|---|
| Medicare Enrollment ID | O20230816004407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588324693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jillana Vessel-thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063797074 PECOS PAC ID: 5294197687 Enrollment ID: I20230816004456 |
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