| Phoenix Family Life Centers | |
|
710 Versailles Blvd Alexandria LA 71303-2351 | |
| (318) 449-4474 | |
| Not Available |
| Full Name | Phoenix Family Life Centers |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 710 Versailles Blvd, Alexandria, Louisiana |
| Authorized Official Name and Position | Gemmalyn Pryor (SEASIDE HC BILLING SUPERVISOR) |
| Authorized Official Contact | 3372348280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Family Life Centers 101 Feu Follet Rd Ste 100 Lafayette LA 70508-4234 Ph: (337) 234-8455 | Phoenix Family Life Centers 710 Versailles Blvd Alexandria LA 71303-2351 Ph: (318) 449-4474 |
| NPI Number | 1912281031 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912281031 | NPI | - | NPPES |
| 1803871 | Medicaid | LA |
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