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5159 Highway 4 E Columbia LA 71418-3581 | |
(318) 362-3270 | |
(318) 362-3268 |
Full Name | |
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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 |
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5159 Highway 4 E Columbia LA 71418-3581 Ph: (318) 362-3270 | 5159 Highway 4 E Columbia LA 71418-3581 Ph: (318) 362-3270 |
NPI Number | 1154402618 |
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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 |
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 | |