| Therapeutic Interventions | |
|
9080 Westwood Dr. Null Bastrop LA 71220 | |
| (318) 237-8000 | |
| Not Available |
| Full Name | Therapeutic Interventions |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9080 Westwood Dr., Bastrop, Louisiana |
| Authorized Official Name and Position | Ricky Wayne Jones (OWNER) |
| Authorized Official Contact | 3182378000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Interventions 9080 Westwood Dr Bastrop LA 71220-1407 Ph: (318) 237-8000 | Therapeutic Interventions 9080 Westwood Dr. Null Bastrop LA 71220 Ph: (318) 237-8000 |
| NPI Number | 1073289377 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073289377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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