| Bayou Mental Health Of Alexandria And Deridder | |
|
1605 Murray St Suite 104 Alexandria LA 71301-6890 | |
| (318) 623-5839 | |
| Not Available |
| Full Name | Bayou Mental Health Of Alexandria And Deridder |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1605 Murray St, Alexandria, Louisiana |
| Authorized Official Name and Position | Knakita Bailey (PRACTICE MANAGER) |
| Authorized Official Contact | 3186235839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Mental Health Of Alexandria And Deridder Po Box 12726 Alexandria LA 71315-2726 Ph: () - | Bayou Mental Health Of Alexandria And Deridder 1605 Murray St Suite 104 Alexandria LA 71301-6890 Ph: (318) 623-5839 |
| NPI Number | 1457713224 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457713224 | NPI | - | NPPES |
| 1408034 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MD201241 (Louisiana) | Primary |
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