| Magnolia Behavioral Services | |
|
510 Oak Rd Belle Chasse LA 70037-2914 | |
| (765) 438-9160 | |
| Not Available |
| Full Name | Magnolia Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 510 Oak Rd, Belle Chasse, Louisiana |
| Authorized Official Name and Position | Elizabeth Hartsock (OWNER/CEO) |
| Authorized Official Contact | 7654389160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Behavioral Services 510 Oak Rd Belle Chasse LA 70037-2914 Ph: (765) 438-9160 | Magnolia Behavioral Services 510 Oak Rd Belle Chasse LA 70037-2914 Ph: (765) 438-9160 |
| NPI Number | 1235998451 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235998451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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