Trinity Baptist Church | |
1002 West Main Oak Grove LA 71263-7126 | |
(318) 537-6220 | |
Not Available |
Full Name | Trinity Baptist Church |
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Speciality | Community/behavioral Health |
Location | 1002 West Main, Oak Grove, Louisiana |
Authorized Official Name and Position | Patricia Tammette Bullock (COUNSELOR) |
Authorized Official Contact | 3185376220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trinity Baptist Church 7099 Highway 2 Oak Grove LA 71263-8392 Ph: (318) 537-6220 | Trinity Baptist Church 1002 West Main Oak Grove LA 71263-7126 Ph: (318) 537-6220 |
NPI Number | 1134621691 |
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Provider Enumeration Date | 03/01/2018 |
Last Update Date | 03/01/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134621691 | NPI | - | NPPES |
1386093078 | Other | LA | DONATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 6359 (Louisiana) | Primary |
Psychiatric Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-3200 |