| Victoria Prather, Llc | |
|
1101 Village Walk Covington LA 70433-4006 | |
| (985) 789-3802 | |
| Not Available |
| Full Name | Victoria Prather, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1101 Village Walk, Covington, Louisiana |
| Authorized Official Name and Position | Victoria Prather (OWNER) |
| Authorized Official Contact | 9857893802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Prather, Llc 120a Deforest Drive Madsionville LA 70447 Ph: () - | Victoria Prather, Llc 1101 Village Walk Covington LA 70433-4006 Ph: (985) 789-3802 |
| NPI Number | 1922727049 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922727049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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