| Live Oak Behavioral Health Group, L.l.c. | |
|
7084 Cemetary Hwy At Live Oak Landing Saint Martinville LA 70582-7900 | |
| (800) 924-4012 | |
| Not Available |
| Full Name | Live Oak Behavioral Health Group, L.l.c. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7084 Cemetary Hwy, Saint Martinville, Louisiana |
| Authorized Official Name and Position | Mark D Barrentine (MEMBER, MANAGER) |
| Authorized Official Contact | 8009244012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Behavioral Health Group, L.l.c. Po Box 139 Saint Martinville LA 70582-0139 Ph: (800) 924-4012 | Live Oak Behavioral Health Group, L.l.c. 7084 Cemetary Hwy At Live Oak Landing Saint Martinville LA 70582-7900 Ph: (800) 924-4012 |
| NPI Number | 1285093922 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285093922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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