Dana Isaac

Individual provider Active NPI Counselor · New Roads, LA

NPI 1992237044 · NPPES record last updated Mar 29, 2017

Key facts

NPI
1992237044
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1042 Hospital Rd
New Roads, LA 70760-2649
Phone
(225) 240-9457
NPI assigned
Mar 29, 2017
Sex
Female
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)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1042 Hospital Rd
New Roads, LA 70760-2649

Mailing address

1042 Hospital Rd
New Roads, LA 70760-2649
Phone (225) 240-9457

Other identifiers

IdentifierTypeStateIssuer
0000000MedicaidLA

Other providers in New Roads, LA

All providers in New Roads, LA · Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.