| Therapeutic Partners,llc | |
|
60 Louis Prima Dr Suite A Covington LA 70433-5903 | |
| (504) 430-6116 | |
| Not Available |
| Full Name | Therapeutic Partners,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 60 Louis Prima Dr, Covington, Louisiana |
| Authorized Official Name and Position | Colette Melancon (OWNER) |
| Authorized Official Contact | 5044306116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Partners,llc 60 Louis Prima Suite A Covington LA 70433 Ph: () - | Therapeutic Partners,llc 60 Louis Prima Dr Suite A Covington LA 70433-5903 Ph: (504) 430-6116 |
| NPI Number | 1528330537 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 0941460471 |
|---|---|
| Medicare Enrollment ID | O20120321000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528330537 | NPI | - | NPPES |
| Provider Name | Shanmugan Shantha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255341798 PECOS PAC ID: 4880614833 Enrollment ID: I20051206000102 |
| Provider Name | Colette M Melancon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255585519 PECOS PAC ID: 8921268459 Enrollment ID: I20120321000126 |
| Provider Name | Kelly A Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689933236 PECOS PAC ID: 7911157680 Enrollment ID: I20121016000424 |
| Provider Name | Mohammad Imran Naeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811253420 PECOS PAC ID: 6305123811 Enrollment ID: I20170608002487 |
| Provider Name | Pamela Reitan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942679824 PECOS PAC ID: 1759613235 Enrollment ID: I20191102000054 |
| Provider Name | Victoria Prather |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538604038 PECOS PAC ID: 2769895648 Enrollment ID: I20210114000509 |
| Provider Name | Vanessa Hadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578935136 PECOS PAC ID: 5890166037 Enrollment ID: I20230327002458 |
| Provider Name | Ashle' Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245870807 PECOS PAC ID: 1456797687 Enrollment ID: I20240311002769 |
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