Taylor Clinic Llc | |
212 Jackson St Columbia LA 71418-1566 | |
(318) 649-7575 | |
(318) 649-6878 |
Full Name | Taylor Clinic Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 212 Jackson St, Columbia, Louisiana |
Authorized Official Name and Position | Johnny Lynn Taylor (CEO) |
Authorized Official Contact | 3186497575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Taylor Clinic Llc Po Box 1566 212 Jackson Street Columbia LA 71418-1566 Ph: (318) 649-7575 | Taylor Clinic Llc 212 Jackson St Columbia LA 71418-1566 Ph: (318) 649-7575 |
NPI Number | 1538223854 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 07/24/2007 |
Identifier | Type | State | Issuer |
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1538223854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 194699 (Louisiana) | Primary |