| Supported Employment Provider | |
|
132 Highway 850 Columbia LA 71418-1559 | |
| (318) 649-6097 | |
| (318) 649-2868 |
| Full Name | Supported Employment Provider |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 Highway 850, Columbia, Louisiana |
| Authorized Official Name and Position | Michael Anthony Harrell (REGIONAL ASSOCIATE ADMINISTRATOR) |
| Authorized Official Contact | 3186496097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supported Employment Provider 132 Highway 850 Columbia LA 71418-1559 Ph: (318) 649-6097 | Supported Employment Provider 132 Highway 850 Columbia LA 71418-1559 Ph: (318) 649-6097 |
| NPI Number | 1124248042 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124248042 | NPI | - | NPPES |
| 1165077 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2311 (Louisiana) | Primary |
Supported Independent Living Prov Ider Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
Obh-columbia Addictive Disorders Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-362-3270 Fax: 318-362-3268 | |
Personal Care Attendant Provider Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
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 | |
Winnsboro/columbia Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-649-2333 Fax: 318-362-3268 | |
Columbia Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-649-2333 Fax: 318-649-0149 |