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5159 Highway 4 E Columbia LA 71418-3580 | |
(318) 649-2333 | |
(318) 362-3268 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5159 Highway 4 E, Columbia, Louisiana |
Authorized Official Name and Position | Mark Debord (REGIONAL ADMINISTRAT) |
Authorized Official Contact | 3183623270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2513 Ferrand Street Monroe LA 71201 Ph: (318) 362-3270 | 5159 Highway 4 E Columbia LA 71418-3580 Ph: (318) 649-2333 |
NPI Number | 1720133978 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 07/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720133978 | NPI | - | NPPES |
1710695 | Medicaid | LA |
Taylor Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Jackson St, Columbia, LA 71418 Phone: 318-649-7575 Fax: 318-649-6878 | |