| Bogalusa Mental Health Center | |
|
619 Willis Ave Bogalusa LA 70427-3001 | |
| (985) 732-6610 | |
| (985) 732-6626 |
| Full Name | Bogalusa Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 619 Willis Ave, Bogalusa, Louisiana |
| Authorized Official Name and Position | Judy Hooks (FACILITY MANAGER) |
| Authorized Official Contact | 9857326610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bogalusa Mental Health Center 619 Willis Ave Bogalusa LA 70427-3001 Ph: (985) 732-6610 | Bogalusa Mental Health Center 619 Willis Ave Bogalusa LA 70427-3001 Ph: (985) 732-6610 |
| NPI Number | 1255485967 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255485967 | NPI | - | NPPES |
| 1710091 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 131 (Louisiana) | Primary |
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