| |
6472 W Main St Houma LA 70360-2265 | |
(337) 442-3163 | |
(318) 442-4779 |
Full Name | |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 6472 W Main St, Houma, Louisiana |
Authorized Official Name and Position | Mark Cullen (CEO) |
Authorized Official Contact | 3377883330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 428 Crowley LA 70527-0428 Ph: (337) 785-8003 | 6472 W Main St Houma LA 70360-2265 Ph: (337) 442-3163 |
NPI Number | 1154648301 |
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Provider Enumeration Date | 04/28/2010 |
Last Update Date | 04/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154648301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Louisiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP05139 (Louisiana) | Primary |
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