| Comprehensive Mental Health Center Of Monroe, Llc | |
|
1301 Thomas Rd Suites C & D West Monroe LA 71292-5816 | |
| (318) 329-9455 | |
| (318) 329-9492 |
| Full Name | Comprehensive Mental Health Center Of Monroe, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1301 Thomas Rd, West Monroe, Louisiana |
| Authorized Official Name and Position | Carlton Otis Noble (PROGRAM DIRECTOR/MEMBER) |
| Authorized Official Contact | 3183299455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Mental Health Center Of Monroe, Llc 1301 Thomas Rd Suites C & D West Monroe LA 71292-5816 Ph: (318) 329-9455 | Comprehensive Mental Health Center Of Monroe, Llc 1301 Thomas Rd Suites C & D West Monroe LA 71292-5816 Ph: (318) 329-9455 |
| NPI Number | 1750482469 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750482469 | NPI | - | NPPES |
| 60106 | Other | LA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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