| Broadlands Family Services, Llc | |
|
14791 E Main St Cut Off LA 70345-2658 | |
| (985) 632-2569 | |
| (985) 325-8668 |
| Full Name | Broadlands Family Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14791 E Main St, Cut Off, Louisiana |
| Authorized Official Name and Position | Ron Dantin (PROVIDER) |
| Authorized Official Contact | 9856356943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadlands Family Services, Llc 14791 E Main St Cut Off LA 70345-2658 Ph: (985) 632-2569 | Broadlands Family Services, Llc 14791 E Main St Cut Off LA 70345-2658 Ph: (985) 632-2569 |
| NPI Number | 1063866432 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063866432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3284 (Louisiana) | Primary |
New Life Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14758 W Main St, Cut Off, LA 70345 Phone: 985-632-7797 Fax: 985-632-7797 |