| Protective Factors, Llc | |
|
806 N 31st St Suite B Monroe LA 71201-3900 | |
| (318) 737-7794 | |
| (318) 605-4800 |
| Full Name | Protective Factors, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 806 N 31st St, Monroe, Louisiana |
| Authorized Official Name and Position | Victoria Pleasant-wallace (OWNER) |
| Authorized Official Contact | 3184502606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Protective Factors, Llc 806 N 31st St Suite B Monroe LA 71201-3900 Ph: (318) 737-7794 | Protective Factors, Llc 806 N 31st St Suite B Monroe LA 71201-3900 Ph: (318) 737-7794 |
| NPI Number | 1366801730 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366801730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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