| Bastrop Behavioral Health Clinic | |
|
451 E Madison Ave Bastrop LA 71220-3829 | |
| (318) 283-0868 | |
| (318) 283-0875 |
| Full Name | Bastrop Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 451 E Madison Ave, Bastrop, Louisiana |
| Authorized Official Name and Position | Octavia Green (ADMINISTRATIVE PROGRAM SPECIALIST B) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Behavioral Health Clinic 451 E Madison Ave Bastrop LA 71220-3829 Ph: (318) 283-0868 | Bastrop Behavioral Health Clinic 451 E Madison Ave Bastrop LA 71220-3829 Ph: (318) 283-0868 |
| NPI Number | 1639511256 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639511256 | NPI | - | NPPES |
| 1750051 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2203782906 (Louisiana) | Primary |
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› Verified 6 days ago
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