| Truth180 Adolescent And Adult Clinical Services, Llc | |
|
20234 Highway 36 Ste Bandc Covington LA 70433-8606 | |
| (985) 809-9900 | |
| (985) 809-9940 |
| Full Name | Truth180 Adolescent And Adult Clinical Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20234 Highway 36 Ste Bandc, Covington, Louisiana |
| Authorized Official Name and Position | Christopher Russell (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9858099900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Truth180 Adolescent And Adult Clinical Services, Llc Po Box 5356 Slidell LA 70469-5356 Ph: (985) 809-9900 | Truth180 Adolescent And Adult Clinical Services, Llc 20234 Highway 36 Ste Bandc Covington LA 70433-8606 Ph: (985) 809-9900 |
| NPI Number | 1477124543 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477124543 | NPI | - | NPPES |
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