| Shield Of Hope Counseling, Llc | |
|
202 S Tyler St Ste A Covington LA 70433-3036 | |
| (985) 205-1441 | |
| Not Available |
| Full Name | Shield Of Hope Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 202 S Tyler St Ste A, Covington, Louisiana |
| Authorized Official Name and Position | Ellen Michel (OWNER) |
| Authorized Official Contact | 9852051441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shield Of Hope Counseling, Llc 737 English Oak Dr Madisonville LA 70447-3181 Ph: (985) 205-1441 | Shield Of Hope Counseling, Llc 202 S Tyler St Ste A Covington LA 70433-3036 Ph: (985) 205-1441 |
| NPI Number | 1356086060 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Medicare PECOS PAC ID | 2264965078 |
|---|---|
| Medicare Enrollment ID | O20241101000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356086060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Ellen Michel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932564341 PECOS PAC ID: 3173056983 Enrollment ID: I20241101000570 |
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