| Blue Light Behavioral Services | |
|
2424 N Constance Ln Lake Charles LA 70605-2340 | |
| (337) 563-6439 | |
| Not Available |
| Full Name | Blue Light Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2424 N Constance Ln, Lake Charles, Louisiana |
| Authorized Official Name and Position | Sarah Mueller (OWNER) |
| Authorized Official Contact | 3375636439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Light Behavioral Services 2424 N Constance Ln Lake Charles LA 70605-2340 Ph: (337) 563-6439 | Blue Light Behavioral Services 2424 N Constance Ln Lake Charles LA 70605-2340 Ph: (337) 563-6439 |
| NPI Number | 1427709633 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427709633 | NPI | - | NPPES |
| NONE | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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