| Felicianas' Youth Of Distinction Behavioral Health, Llc | |
| 
					10105 Plank Rd Ste A Clinton LA 70722-3707  | |
| (225) 244-7026 | |
| (225) 244-7028 | 
| Full Name | Felicianas' Youth Of Distinction Behavioral Health, Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 10105 Plank Rd Ste A, Clinton, Louisiana | 
| Authorized Official Name and Position | Stephanie Spann Gilmore (ADMINISTRATIVE DIRECTOR) | 
| Authorized Official Contact | 2252447026 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Felicianas' Youth Of Distinction Behavioral Health, Llc 10105 Plank Rd Ste A Clinton LA 70722-3707 Ph: (225) 244-7026  | Felicianas' Youth Of Distinction Behavioral Health, Llc 10105 Plank Rd Ste A Clinton LA 70722-3707 Ph: (225) 244-7026  | 
| NPI Number | 1255759148 | 
|---|---|
| Provider Enumeration Date | 03/28/2014 | 
| Last Update Date | 03/28/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255759148 | NPI | - | NPPES | 
| 600925226 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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