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406 Tisdale Dr Bastrop LA 71220-3747 | |
(318) 974-6000 | |
Not Available |
Full Name | |
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Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 406 Tisdale Dr, Bastrop, Louisiana |
Authorized Official Name and Position | Stephanie Lamb (PRESIDENT) |
Authorized Official Contact | 3189745088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 77053 Baton Rouge LA 70879-7053 Ph: (318) 570-5400 | 406 Tisdale Dr Bastrop LA 71220-3747 Ph: (318) 974-6000 |
NPI Number | 1225526734 |
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Provider Enumeration Date | 04/30/2018 |
Last Update Date | 02/14/2022 |
Certification Date | 02/14/2022 |
Identifier | Type | State | Issuer |
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1225526734 | NPI | - | NPPES |
Therapeutic Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9080 Westwood Dr., Null, Bastrop, LA 71220 Phone: 318-237-8000 | |