| Lds Family Services Louisiana Agency | |
|
480 Robert Blvd Slidell LA 70458-1345 | |
| (985) 649-2774 | |
| (985) 649-2738 |
| Full Name | Lds Family Services Louisiana Agency |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 480 Robert Blvd, Slidell, Louisiana |
| Authorized Official Name and Position | Douglas E. Gardner (AGENCY DIRECTOR) |
| Authorized Official Contact | 9856492774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Louisiana Agency 480 Robert Blvd Slidell LA 70458-1345 Ph: (985) 649-2774 | Lds Family Services Louisiana Agency 480 Robert Blvd Slidell LA 70458-1345 Ph: (985) 649-2774 |
| NPI Number | 1962578906 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962578906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 11854 (Louisiana) | Primary |
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