Axis Behavioral Health And Recovery | |
217 Brevard Ct Ste C Alexandria LA 71303-3997 | |
(318) 545-2451 | |
(866) 990-8296 |
Full Name | Axis Behavioral Health And Recovery |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 217 Brevard Ct Ste C, Alexandria, Louisiana |
Authorized Official Name and Position | Mark Declouet (OWNER/CEO/NURSE PRACTITIONER) |
Authorized Official Contact | 3373222471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Axis Behavioral Health And Recovery Po Box 53709 Lafayette LA 70505-3709 Ph: (337) 205-6445 | Axis Behavioral Health And Recovery 217 Brevard Ct Ste C Alexandria LA 71303-3997 Ph: (318) 545-2451 |
NPI Number | 1275926230 |
---|---|
Provider Enumeration Date | 03/13/2015 |
Last Update Date | 01/27/2022 |
Certification Date | 01/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275926230 | NPI | - | NPPES |
2543491 | Medicaid | LA |
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