| Leesville Mental Health Center | |
|
105 Belview Rd Leesville LA 71446-2902 | |
| (337) 238-6431 | |
| (337) 238-7070 |
| Full Name | Leesville Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 105 Belview Rd, Leesville, Louisiana |
| Authorized Official Name and Position | Rebecca I Craig (REGIONAL MANAGER) |
| Authorized Official Contact | 3184875191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesville Mental Health Center Po Box 1526 Leesville LA 71496-1526 Ph: (337) 238-6431 | Leesville Mental Health Center 105 Belview Rd Leesville LA 71446-2902 Ph: (337) 238-6431 |
| NPI Number | 1790822617 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790822617 | NPI | - | NPPES |
| 1710261 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 94 (Louisiana) | Primary |
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