| A Refuge Of La | |
|
103 Business Park Dr Ste B Denham Springs LA 70726-7825 | |
| (225) 315-2415 | |
| (225) 664-4406 |
| Full Name | A Refuge Of La |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 103 Business Park Dr Ste B, Denham Springs, Louisiana |
| Authorized Official Name and Position | Donna Miley Blackburn (LPC) |
| Authorized Official Contact | 2253152415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Refuge Of La 103 Business Park Dr Ste B Denham Springs LA 70726-7825 Ph: (225) 315-2415 | A Refuge Of La 103 Business Park Dr Ste B Denham Springs LA 70726-7825 Ph: (225) 315-2415 |
| NPI Number | 1598508582 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598508582 | NPI | - | NPPES |
| 1518013499 | Other | LA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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