| Ddms Of Louisiana No 2, Llc | |
|
9901 Linn Station Rd Louisville KY 40223-3808 | |
| (800) 866-0860 | |
| Not Available |
| Full Name | Ddms Of Louisiana No 2, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9901 Linn Station Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (CHIEF REGULATORY OFFICER SR ASST GC) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ddms Of Louisiana No 2, Llc 6600 France Ave S Ste 350 Edina MN 55435-1810 Ph: (800) 388-5150 | Ddms Of Louisiana No 2, Llc 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (800) 866-0860 |
| NPI Number | 1003066135 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 07/01/2026 |
| Certification Date | 07/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003066135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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