| Life Journey | |
|
604 W Nevada Ave Vivian LA 71082-3040 | |
| (318) 436-9717 | |
| Not Available |
| Full Name | Life Journey |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 604 W Nevada Ave, Vivian, Louisiana |
| Authorized Official Name and Position | Lashun Berry (ADMINISTRATOR) |
| Authorized Official Contact | 3184369717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Journey 604 W Nevada Ave Vivian LA 71082-3040 Ph: (318) 436-9717 | Life Journey 604 W Nevada Ave Vivian LA 71082-3040 Ph: (318) 436-9717 |
| NPI Number | 1568852077 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568852077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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