| Tallulah Mental Health Center | |
|
1012 Johnson St Tallulah LA 71282-5216 | |
| (318) 574-1713 | |
| (318) 574-2299 |
| Full Name | Tallulah Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1012 Johnson St, Tallulah, Louisiana |
| Authorized Official Name and Position | Kay Ashley (MANAGER) |
| Authorized Official Contact | 3185741713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallulah Mental Health Center 1012 Johnson St Tallulah LA 71282-5216 Ph: (318) 574-1713 | Tallulah Mental Health Center 1012 Johnson St Tallulah LA 71282-5216 Ph: (318) 574-1713 |
| NPI Number | 1598802233 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598802233 | NPI | - | NPPES |
| 1710351 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 90 (Louisiana) | Primary |
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