<unavail> in Alexandria, LA - Medicare Clinic/Center

is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Alexandria, Louisiana. The current practice location for is 122 Maryland Ave, Alexandria, Louisiana. For appointments, you can reach them via phone at (318) 648-0375. The mailing address for is Po Box 1288, Winnfield, Louisiana and phone number is (318) 209-4510.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396267068. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 648-0375.

Contact Information


	122 Maryland Ave Alexandria LA 71301-5403
	(318) 648-0375
	(318) 648-0378

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinic/Center
Location	122 Maryland Ave, Alexandria, Louisiana
Authorized Official Name and Position	Deano Thornton (CEO)
Authorized Official Contact	3182094510
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 1288 Winnfield LA 71483-1288 Ph: (318) 209-4510	122 Maryland Ave Alexandria LA 71301-5403 Ph: (318) 648-0375

NPI Details:

NPI Number	1396267068
Provider Enumeration Date	07/13/2017
Last Update Date	06/26/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	2567516545
Medicare Enrollment ID	O20210512001125

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396267068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Alexandria, LA

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- Medicare Mental Health Clinic in Alexandria, LA