| Natchitoches Behavioral Health Clinic | |
|
210 Medical Dr Natchitoches LA 71457-6052 | |
| (318) 357-3122 | |
| (318) 357-3240 |
| Full Name | Natchitoches Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 210 Medical Dr, Natchitoches, Louisiana |
| Authorized Official Name and Position | Carol W Robertson (ACCOUNTING SUPERVISOR) |
| Authorized Official Contact | 3188623067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natchitoches Behavioral Health Clinic 210 Medical Dr Natchitoches LA 71457-6052 Ph: (318) 357-3122 | Natchitoches Behavioral Health Clinic 210 Medical Dr Natchitoches LA 71457-6052 Ph: (318) 357-3122 |
| NPI Number | 1366875874 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366875874 | NPI | - | NPPES |
| 2203782546-B | Other | LA | BEHAVIORAL HEALTH SERVICE PROVIDER |
| 1710083 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2203782546-B (Louisiana) | Primary |
Natchitoches Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Medical Drive, Natchitoches, LA 71457 Phone: 318-357-3122 Fax: 318-357-3240 | |
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