| Blue Bird Nest Llc | |
|
28910 Leroy Cowart Rd Holden LA 70744-5432 | |
| (985) 320-0655 | |
| Not Available |
| Full Name | Blue Bird Nest Llc |
|---|---|
| Speciality | Counselor |
| Location | 28910 Leroy Cowart Rd, Holden, Louisiana |
| Authorized Official Name and Position | Melanie Neal (OWNER/CEO) |
| Authorized Official Contact | 9853200655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Bird Nest Llc 28910 Leroy Cowart Rd Holden LA 70744-5432 Ph: (985) 320-0655 | Blue Bird Nest Llc 28910 Leroy Cowart Rd Holden LA 70744-5432 Ph: (985) 320-0655 |
| NPI Number | 1932831625 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932831625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |