Affinity Behavioral Health Llc | |
10632 Holly Hock Dr Greenwell Springs LA 70739-5312 | |
(601) 622-3342 | |
(601) 510-9177 |
Full Name | Affinity Behavioral Health Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 10632 Holly Hock Dr, Greenwell Springs, Louisiana |
Authorized Official Name and Position | Lawana Michelle Mabry (CLINICAL DIRECTOR) |
Authorized Official Contact | 2253244101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Affinity Behavioral Health Llc 10632 Holly Hock Dr Greenwell Springs LA 70739-5312 Ph: (225) 324-4101 | Affinity Behavioral Health Llc 10632 Holly Hock Dr Greenwell Springs LA 70739-5312 Ph: (601) 622-3342 |
NPI Number | 1225703143 |
---|---|
Provider Enumeration Date | 08/12/2021 |
Last Update Date | 08/12/2021 |
Certification Date | 08/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225703143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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