| Northeast Delta Human Services Authority | |
|
5159 Highway 4 E Columbia LA 71418-3580 | |
| (318) 649-2333 | |
| (318) 649-0149 |
| Full Name | Northeast Delta Human Services Authority |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5159 Highway 4 E, Columbia, Louisiana |
| Authorized Official Name and Position | Octavia Green (ADMINISTRATIVE PROGRAM SPECIALIST B) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Delta Human Services Authority 5159 Highway 4 E Columbia LA 71418-3580 Ph: (318) 649-2333 | Northeast Delta Human Services Authority 5159 Highway 4 E Columbia LA 71418-3580 Ph: (318) 649-2333 |
| NPI Number | 1952733156 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952733156 | NPI | - | NPPES |
| 1710695 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2203782560 (Louisiana) | Primary |
Columbia Developmental Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
Columbia Developmental Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
Department Of Health & Hospitals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-362-3270 Fax: 318-362-3268 | |
Columbia Developmental Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 850, Columbia, LA 71418 Phone: 318-649-6097 Fax: 318-649-2868 | |
Taylor Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Jackson St, Columbia, LA 71418 Phone: 318-649-7575 Fax: 318-649-6878 | |
Department Of Health And Hospitals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-649-2333 Fax: 318-362-3268 |