| Barksdale Air Force Base | |
|
243 Curtiss Rd Suite 100 Barksdale Afb LA 71110-2425 | |
| (318) 456-6705 | |
| (318) 456-1022 |
| Full Name | Barksdale Air Force Base |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 243 Curtiss Rd, Barksdale Afb, Louisiana |
| Authorized Official Name and Position | Susanna V Weeks (PSYCHIATRIC NURSE, BHOP) |
| Authorized Official Contact | 3184566705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barksdale Air Force Base 243 Curtiss Rd Suite 100 Barksdale Afb LA 71110-2425 Ph: (318) 456-6705 | Barksdale Air Force Base 243 Curtiss Rd Suite 100 Barksdale Afb LA 71110-2425 Ph: (318) 456-6705 |
| NPI Number | 1851715122 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851715122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 100643 (Louisiana) | Primary |