| Affinity Behavioral Health Llc | |
| 
					10632 Holly Hock Dr Greenwell Springs LA 70739-5312  | |
| (601) 622-3342 | |
| (601) 510-9177 | 
| Full Name | Affinity Behavioral Health Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 10632 Holly Hock Dr, Greenwell Springs, Louisiana | 
| Authorized Official Name and Position | Lawana Michelle Mabry (CLINICAL DIRECTOR) | 
| Authorized Official Contact | 2253244101 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Affinity Behavioral Health Llc 10632 Holly Hock Dr Greenwell Springs LA 70739-5312 Ph: (225) 324-4101  | Affinity Behavioral Health Llc 10632 Holly Hock Dr Greenwell Springs LA 70739-5312 Ph: (601) 622-3342  | 
| NPI Number | 1225703143 | 
|---|---|
| Provider Enumeration Date | 08/12/2021 | 
| Last Update Date | 08/12/2021 | 
| Certification Date | 08/12/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225703143 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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