| Obh-columbia Addictive Disorders Clinic | |
|
5159 Highway 4 E Columbia LA 71418-3581 | |
| (318) 362-3270 | |
| (318) 362-3268 |
| Full Name | Obh-columbia Addictive Disorders Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5159 Highway 4 E, Columbia, Louisiana |
| Authorized Official Name and Position | Phyllis Parks (OAD REGIONAL ADMINISTRATOR) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obh-columbia Addictive Disorders Clinic 5159 Highway 4 E Columbia LA 71418-3581 Ph: (318) 362-3270 | Obh-columbia Addictive Disorders Clinic 5159 Highway 4 E Columbia LA 71418-3581 Ph: (318) 362-3270 |
| NPI Number | 1154402618 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154402618 | NPI | - | NPPES |
| H6210 | Other | LA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 4537 (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW9759 (Louisiana) | Primary |
Supported Independent Living Prov Ider Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
Supported Employment Provider Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
Personal Care Attendant Provider Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
Taylor Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Jackson St, Columbia, LA 71418 Phone: 318-649-7575 Fax: 318-649-6878 | |
Winnsboro/columbia Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-649-2333 Fax: 318-362-3268 | |
Columbia Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-649-2333 Fax: 318-649-0149 |