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314 North Franklin Street Bastrop LA 71220 | |
(318) 283-8887 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 314 North Franklin Street, Bastrop, Louisiana |
Authorized Official Name and Position | Elizabeth Spikes (ADMINISTRATIVE SERVICES COORDINATOR) |
Authorized Official Contact | 3185568454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 792 Bastrop LA 71221-0792 Ph: (318) 556-8454 | 314 North Franklin Street Bastrop LA 71220 Ph: (318) 283-8887 |
NPI Number | 1134879992 |
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Provider Enumeration Date | 03/25/2022 |
Last Update Date | 01/26/2023 |
Certification Date | 01/26/2023 |
Medicare PECOS PAC ID | 1254343593 |
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Medicare Enrollment ID | O20220506000008 |
Identifier | Type | State | Issuer |
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1134879992 | 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 | |