Ed Lamar Anderson
Individual provider Active NPI Mental Health Counselor · Bastrop, LA
NPI 1477072650 · NPPES record last updated Sep 19, 2017
Key facts
- NPI
- 1477072650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 209 W Jefferson Ave
Bastrop, LA 71220-4543 - Phone
- (318) 239-3890
- NPI assigned
- Sep 19, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
209 W Jefferson Ave
Bastrop, LA 71220-4543
Mailing address
209 W Jefferson Ave
Bastrop, LA 71220-4543
Other providers in Bastrop, LA
- All Is Well LLC
- Kathy Onetia Allen
- Always Best at Home
- Amy Douglas-McVay
- Dustin Anderson
- Martha Ann Anderson
- Rodney Anthony
- Lee Antwine Jr.
- Sarah I Armstrong
- Terrance Arnold
All providers in Bastrop, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.