Resource Management Services Of Vernon Llc | |
1333 Common St Lake Charles LA 70601-5255 | |
(337) 437-4014 | |
(337) 437-8283 |
Full Name | Resource Management Services Of Vernon Llc |
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Speciality | Counselor - Mental Health |
Location | 1333 Common St, Lake Charles, Louisiana |
Authorized Official Name and Position | Randall Leo Key (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3374374014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Resource Management Services Of Vernon Llc 1333 Common St Lake Charles LA 70601-5255 Ph: (337) 437-4014 | Resource Management Services Of Vernon Llc 1333 Common St Lake Charles LA 70601-5255 Ph: (337) 437-4014 |
NPI Number | 1942303490 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 08/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942303490 | NPI | - | NPPES |
N/A | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | N/A (Louisiana) | Primary |
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