| Mathis Holdings, LLC | |
|
160 Parish Park Rd Ruston LA 71270-1681 | |
| (318) 255-0010 | |
| Not Available |
| Full Name | Mathis Holdings, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 160 Parish Park Rd, Ruston, Louisiana |
| Authorized Official Name and Position | Marlin Mathis (OWNER/DIRECTOR) |
| Authorized Official Contact | 3182550010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathis Holdings, LLC 160 Parish Park Rd Ruston LA 71270-1681 Ph: (318) 255-0010 | Mathis Holdings, LLC 160 Parish Park Rd Ruston LA 71270-1681 Ph: (318) 255-0010 |
| NPI Number | 1639256522 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639256522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | IN PROCESS (Louisiana) | Primary |
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