| Community Support Services Of Louisiana, Inc. | |
|
1140 Shirley Rd Bunkie LA 71322-1545 | |
| (318) 346-8001 | |
| (318) 346-8005 |
| Full Name | Community Support Services Of Louisiana, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1140 Shirley Rd, Bunkie, Louisiana |
| Authorized Official Name and Position | Charyl A Anderson (PRESIDENT) |
| Authorized Official Contact | 3183468001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Support Services Of Louisiana, Inc. 1140 Shirley Rd 1140 Shirley Rd Bunkie LA 71322 Ph: (318) 346-8001 | Community Support Services Of Louisiana, Inc. 1140 Shirley Rd Bunkie LA 71322-1545 Ph: (318) 346-8001 |
| NPI Number | 1679507412 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679507412 | NPI | - | NPPES |
| 1544761 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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