Rural Behavioral Health Services, Llc | |
59448 Highway 10 Bogalusa LA 70427-8508 | |
(985) 732-0253 | |
(888) 724-7415 |
Full Name | Rural Behavioral Health Services, Llc |
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Speciality | Psychologist |
Location | 59448 Highway 10, Bogalusa, Louisiana |
Authorized Official Name and Position | Maxine Campbell-flint (MEMBER) |
Authorized Official Contact | 9857320253 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rural Behavioral Health Services, Llc 59448 Highway 10 Bogalusa LA 70427-8508 Ph: (985) 732-0253 | Rural Behavioral Health Services, Llc 59448 Highway 10 Bogalusa LA 70427-8508 Ph: (985) 732-0253 |
NPI Number | 1033700307 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 01/29/2021 |
Certification Date | 01/29/2021 |
Medicare PECOS PAC ID | 4789099953 |
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Medicare Enrollment ID | O20210222000317 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033700307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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