A Life Choice For Personal Enhancement, Llc | |
401 Whitney Ave 604 Gretna LA 70056-2558 | |
(504) 362-0504 | |
(504) 362-0504 |
Full Name | A Life Choice For Personal Enhancement, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 401 Whitney Ave, Gretna, Louisiana |
Authorized Official Name and Position | Tricia Marie Marshall-ferguson (DIRECTOR) |
Authorized Official Contact | 5043620504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Life Choice For Personal Enhancement, Llc 401 Whitney Ave 604 Gretna LA 70056-2558 Ph: (504) 362-0504 | A Life Choice For Personal Enhancement, Llc 401 Whitney Ave 604 Gretna LA 70056-2558 Ph: (504) 362-0504 |
NPI Number | 1104180884 |
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Provider Enumeration Date | 06/27/2012 |
Last Update Date | 06/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104180884 | NPI | - | NPPES |
03 | Other | LA | HUMANA |
04 | Other | LA | MHNET/BEHAVIORAL HEALTH |
06 | Other | LA | HMO OF LA |
13 | Other | LA | COVENTRY HEALTH CARE |
02 | Other | LA | COMPCARE |
07 | Other | LA | UNITED BEHAVIORAL HEALTH |
08 | Other | LA | VALUE OPTIONS INC |
4000 | Medicaid | LA | |
05 | Other | LA | MHNET SPECIALTY SERVICES |
10 | Other | LA | APWU HEALTH CARE |
11 | Other | LA | LIFESYNCH |
001 | Other | LA | BCBS OF LOUISIANA |
0007792856 | Other | LA | AETNA |
09 | Other | LA | MILITARY ONESOURCE |
12 | Other | LA | GEVERNMENT EMPLOYEES HEALTH ASSOCIATION INC. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4671998 (Louisiana) | Primary |
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› Verified 7 days ago
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