| Behavioral Health Clinic Llc | |
|
2500 Maplewood Dr Ste 1 Sulphur LA 70663-6100 | |
| (337) 625-5766 | |
| (225) 208-1056 |
| Full Name | Behavioral Health Clinic Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2500 Maplewood Dr Ste 1, Sulphur, Louisiana |
| Authorized Official Name and Position | Andrew Justin Thrasher (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3376255766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Clinic Llc 2500 Maplewood Dr Ste 1 Sulphur LA 70663-6100 Ph: (337) 625-5766 | Behavioral Health Clinic Llc 2500 Maplewood Dr Ste 1 Sulphur LA 70663-6100 Ph: (337) 625-5766 |
| NPI Number | 1093208548 |
|---|---|
| Provider Enumeration Date | 06/10/2018 |
| Last Update Date | 06/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093208548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1412 (Louisiana) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP05308 (Louisiana) | Secondary |
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