| Beacon Behavioral Outpatient - Bogalusa Llc | |
|
1640 S Columbia St Bogalusa LA 70427-5800 | |
| (985) 735-1750 | |
| Not Available |
| Full Name | Beacon Behavioral Outpatient - Bogalusa Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1640 S Columbia St, Bogalusa, Louisiana |
| Authorized Official Name and Position | Phillip Sean Wendell (CEO) |
| Authorized Official Contact | 2252524758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Outpatient - Bogalusa Llc 14707 Perkins Rd Baton Rouge LA 70810-2216 Ph: (504) 910-6056 | Beacon Behavioral Outpatient - Bogalusa Llc 1640 S Columbia St Bogalusa LA 70427-5800 Ph: (985) 735-1750 |
| NPI Number | 1659168490 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659168490 | NPI | - | NPPES |
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