Cognitive Development Center, Llc | |
1705 Felicia Ave Tallulah LA 71282-8203 | |
(319) 574-1232 | |
Not Available |
Full Name | Cognitive Development Center, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1705 Felicia Ave, Tallulah, Louisiana |
Authorized Official Name and Position | Gemmalyn M Pryor (SEASIDE HC BILLING SUPERVISOR) |
Authorized Official Contact | 3372348280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cognitive Development Center, Llc 101 Feu Follet Rd Ste 100 Lafayette LA 70508-4234 Ph: (337) 234-8280 | Cognitive Development Center, Llc 1705 Felicia Ave Tallulah LA 71282-8203 Ph: (319) 574-1232 |
NPI Number | 1538236328 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 09/07/2023 |
Certification Date | 09/07/2023 |
Identifier | Type | State | Issuer |
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1538236328 | NPI | - | NPPES |
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Cognitive Development Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 Fax: 318-574-8646 |