| Renewing Behavioral Health Llc | |
|
119 N 13th St Oakdale LA 71463-2742 | |
| (318) 306-2482 | |
| (313) 335-2907 |
| Full Name | Renewing Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 119 N 13th St, Oakdale, Louisiana |
| Authorized Official Name and Position | Kerry Dewayne Ledet (CEO) |
| Authorized Official Contact | 3183062482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Behavioral Health Llc 409 N 11th St Oakdale LA 71463-2652 Ph: () - | Renewing Behavioral Health Llc 119 N 13th St Oakdale LA 71463-2742 Ph: (318) 306-2482 |
| NPI Number | 1225285554 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225285554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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