| Heather Kleckinger Llc | |
|
3018 Old Minden Rd Ste 1205c Bossier City LA 71112-2476 | |
| (318) 465-4801 | |
| Not Available |
| Full Name | Heather Kleckinger Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3018 Old Minden Rd Ste 1205c, Bossier City, Louisiana |
| Authorized Official Name and Position | Heather Kleckinger-craven (OWNER) |
| Authorized Official Contact | 3184654801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Kleckinger Llc Po Box 5971 Bossier City LA 71171-5971 Ph: (318) 465-4801 | Heather Kleckinger Llc 3018 Old Minden Rd Ste 1205c Bossier City LA 71112-2476 Ph: (318) 465-4801 |
| NPI Number | 1194493775 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194493775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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