| Delta Behavioral Health Services | |
|
4673 Eugene Ware Blvd Bastrop LA 71220-1425 | |
| (318) 281-2448 | |
| (866) 819-6912 |
| Full Name | Delta Behavioral Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 4673 Eugene Ware Blvd, Bastrop, Louisiana |
| Authorized Official Name and Position | Ashley Brock (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 3182812448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Behavioral Health Services 414 Pine St Monroe LA 71201-6228 Ph: (318) 281-2448 | Delta Behavioral Health Services 4673 Eugene Ware Blvd Bastrop LA 71220-1425 Ph: (318) 281-2448 |
| NPI Number | 1609566967 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609566967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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