| Renaissance Solutions, Llc | |
|
1924 Southwood Dr Lake Charles LA 70605-4131 | |
| (337) 324-1865 | |
| Not Available |
| Full Name | Renaissance Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1924 Southwood Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Jimmy F Trahan (OWNER) |
| Authorized Official Contact | 3372408162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Solutions, Llc 1924 Southwood Dr Lake Charles LA 70605-4131 Ph: (337) 240-8162 | Renaissance Solutions, Llc 1924 Southwood Dr Lake Charles LA 70605-4131 Ph: (337) 324-1865 |
| NPI Number | 1881362572 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 4385037555 |
|---|---|
| Medicare Enrollment ID | O20220210001919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881362572 | NPI | - | NPPES |
| 1760825152 | Medicaid | LA | |
| 1902441827 | Medicaid | LA |
| Provider Name | Sarah Newman Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760825152 PECOS PAC ID: 5597992354 Enrollment ID: I20131226001326 |
| Provider Name | Jacqueline L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441827 PECOS PAC ID: 4981031846 Enrollment ID: I20200305002055 |
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