Made, Llc | |
5605 6th St Apt B Violet LA 70092-3083 | |
(504) 221-5003 | |
Not Available |
Full Name | Made, Llc |
---|---|
Speciality | Case Management |
Location | 5605 6th St, Violet, Louisiana |
Authorized Official Name and Position | Ashlay A Douglas (OWNER/CEO) |
Authorized Official Contact | 5042215003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Made, Llc Po Box 224 Violet LA 70092-0224 Ph: (504) 221-5003 | Made, Llc 5605 6th St Apt B Violet LA 70092-3083 Ph: (504) 221-5003 |
NPI Number | 1548620552 |
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Provider Enumeration Date | 03/03/2016 |
Last Update Date | 03/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548620552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Louisiana) | Secondary |
251B00000X | Case Management | (Louisiana) | Primary |
Four Reasons Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5809 E Judge Perez Dr, Violet, LA 70092 Phone: 504-345-2613 Fax: 605-345-2713 | |
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