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5743 Mer Rouge Rd Bastrop LA 71220-9765 | |
(318) 283-3299 | |
(318) 283-3298 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5743 Mer Rouge Rd, Bastrop, Louisiana |
Authorized Official Name and Position | Derenda Flowers (CFO, VP) |
Authorized Official Contact | 3182833299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5743 Mer Rouge Rd Bastrop LA 71220-9765 Ph: (318) 974-6035 | 5743 Mer Rouge Rd Bastrop LA 71220-9765 Ph: (318) 283-3299 |
NPI Number | 1285193185 |
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Provider Enumeration Date | 03/19/2019 |
Last Update Date | 06/27/2024 |
Certification Date | 06/27/2024 |
Identifier | Type | State | Issuer |
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1285193185 | NPI | - | NPPES |
Therapeutic Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9080 Westwood Dr., Null, Bastrop, LA 71220 Phone: 318-237-8000 | |