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132 Highway 850 Columbia LA 71418-1559 | |
(318) 649-6097 | |
(318) 649-2868 |
Full Name | |
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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 |
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132 Highway 850 Columbia LA 71418-1559 Ph: (318) 649-6097 | 132 Highway 850 Columbia LA 71418-1559 Ph: (318) 649-6097 |
NPI Number | 1124248042 |
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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 |
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 | |