Behaviroal Health &wellness Llc | |
302 Richmond Street Suite A Bogalousa LA 70427 | |
(985) 732-2089 | |
(985) 516-3931 |
Full Name | Behaviroal Health &wellness Llc |
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Speciality | Community/behavioral Health |
Location | 302 Richmond Street Suite A, Bogalousa, Louisiana |
Authorized Official Name and Position | Simone Delaune Nolan (CPST/PSR) |
Authorized Official Contact | 9857890975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behaviroal Health &wellness Llc 302 Richmond St Bogalusa LA 70427-3942 Ph: (985) 732-2089 | Behaviroal Health &wellness Llc 302 Richmond Street Suite A Bogalousa LA 70427 Ph: (985) 732-2089 |
NPI Number | 1265984082 |
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Provider Enumeration Date | 10/27/2016 |
Last Update Date | 10/27/2016 |
Identifier | Type | State | Issuer |
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1265984082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1033588793 (Louisiana) | Primary |