| Youth Service Bureau | |
|
430 N New Hampshire St Covington LA 70433-2830 | |
| (985) 893-2570 | |
| (985) 893-2758 |
| Full Name | Youth Service Bureau |
|---|---|
| Speciality | Counselor |
| Location | 430 N New Hampshire St, Covington, Louisiana |
| Authorized Official Name and Position | Cleveland Wester (PRESIDENT & CEO) |
| Authorized Official Contact | 9858932570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Service Bureau 430 N New Hampshire St Covington LA 70433-2830 Ph: (985) 893-2570 | Youth Service Bureau 430 N New Hampshire St Covington LA 70433-2830 Ph: (985) 893-2570 |
| NPI Number | 1245516897 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245516897 | NPI | - | NPPES |
| 1434001 | Medicaid | LA | |
| 1434019 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 194A (Louisiana) | Secondary |
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