| Minden Behavioral Health Clinic | |
|
502 Nella St Minden LA 71055-3034 | |
| (318) 371-3001 | |
| (318) 371-3300 |
| Full Name | Minden Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 502 Nella St, Minden, Louisiana |
| Authorized Official Name and Position | Carol W. Robertson (ACCOUNTING SUPERVISOR) |
| Authorized Official Contact | 3188623067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Behavioral Health Clinic 502 Nella St Minden LA 71055-3034 Ph: (318) 371-3001 | Minden Behavioral Health Clinic 502 Nella St Minden LA 71055-3034 Ph: (318) 371-3001 |
| NPI Number | 1144653817 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144653817 | NPI | - | NPPES |
| 1710083 | Medicaid | LA | |
| 2203782546-A | Other | LA | BEHAVIORAL HEALTH SERVICE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2203782546-A (Louisiana) | Primary |
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Minden Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Homer Road, Minden, LA 71055 Phone: 318-371-3001 Fax: 318-371-3300 | |
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W.e.r.k., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Joel St, Minden, LA 71055 Phone: 318-268-5330 |