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123 Cason Ave Bastrop LA 71220-5005 | |
(318) 282-9843 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 123 Cason Ave, Bastrop, Louisiana |
Authorized Official Name and Position | Katina Jones (OWNER) |
Authorized Official Contact | 3182829843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5577 Candice Lane Bastrop LA 71220 Ph: (318) 282-9843 | 123 Cason Ave Bastrop LA 71220-5005 Ph: (318) 282-9843 |
NPI Number | 1811433071 |
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Provider Enumeration Date | 01/12/2017 |
Last Update Date | 01/12/2017 |
Identifier | Type | State | Issuer |
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1811433071 | 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 | |