| Vision Academy Aba | |
|
1411 Sherrouse St Monroe LA 71203-5435 | |
| (318) 651-3984 | |
| (318) 651-3985 |
| Full Name | Vision Academy Aba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1411 Sherrouse St, Monroe, Louisiana |
| Authorized Official Name and Position | Latoya Jackson (CEO) |
| Authorized Official Contact | 3186516984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Academy Aba 1411 Sherrouse St Monroe LA 71203-5435 Ph: (318) 651-3984 | Vision Academy Aba 1411 Sherrouse St Monroe LA 71203-5435 Ph: (318) 651-3984 |
| NPI Number | 1629462445 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629462445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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