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320 S Franklin St Bastrop LA 71220-4539 | |
(318) 283-0868 | |
(318) 283-0875 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 320 S Franklin St, Bastrop, Louisiana |
Authorized Official Name and Position | Carolyn Jones (FACILITY MANAGER) |
Authorized Official Contact | 3182830868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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320 S Franklin St Bastrop LA 71220-4539 Ph: (318) 283-0868 | 320 S Franklin St Bastrop LA 71220-4539 Ph: (318) 283-0868 |
NPI Number | 1366589210 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 07/24/2013 |
Identifier | Type | State | Issuer |
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1366589210 | NPI | - | NPPES |
1710628 | Medicaid | LA |
Therapeutic Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9080 Westwood Dr., Null, Bastrop, LA 71220 Phone: 318-237-8000 | |