Felicianas' Youth Of Distinction Behavioral Health, Llc | |
10105 Plank Rd Ste A Clinton LA 70722-3707 | |
(225) 244-7026 | |
(225) 244-7028 |
Full Name | Felicianas' Youth Of Distinction Behavioral Health, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 10105 Plank Rd Ste A, Clinton, Louisiana |
Authorized Official Name and Position | Stephanie Spann Gilmore (ADMINISTRATIVE DIRECTOR) |
Authorized Official Contact | 2252447026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Felicianas' Youth Of Distinction Behavioral Health, Llc 10105 Plank Rd Ste A Clinton LA 70722-3707 Ph: (225) 244-7026 | Felicianas' Youth Of Distinction Behavioral Health, Llc 10105 Plank Rd Ste A Clinton LA 70722-3707 Ph: (225) 244-7026 |
NPI Number | 1255759148 |
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Provider Enumeration Date | 03/28/2014 |
Last Update Date | 03/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255759148 | NPI | - | NPPES |
600925226 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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