Closing The Gap, L.l.c. | |
951 Ditto Rd Sicily Island LA 71368-4810 | |
(318) 235-0312 | |
(318) 235-0312 |
Full Name | Closing The Gap, L.l.c. |
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Speciality | Community/behavioral Health |
Location | 951 Ditto Rd, Sicily Island, Louisiana |
Authorized Official Name and Position | Esther Jean Watson (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 3182350312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Closing The Gap, L.l.c. 951 Ditto Rd Sicily Island LA 71368-4810 Ph: (318) 235-0312 | Closing The Gap, L.l.c. 951 Ditto Rd Sicily Island LA 71368-4810 Ph: (318) 235-0312 |
NPI Number | 1033618574 |
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Provider Enumeration Date | 02/11/2018 |
Last Update Date | 02/11/2018 |
Identifier | Type | State | Issuer |
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1033618574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |