| Winnsboro Behavioral Health Clinic | |
|
1301 Landis St Ste B Winnsboro LA 71295-2642 | |
| (318) 435-2146 | |
| (318) 435-2134 |
| Full Name | Winnsboro Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1301 Landis St Ste B, Winnsboro, 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 |
|---|---|
| Winnsboro Behavioral Health Clinic 1301 Landis St Ste B Winnsboro LA 71295-2642 Ph: (318) 435-2146 | Winnsboro Behavioral Health Clinic 1301 Landis St Ste B Winnsboro LA 71295-2642 Ph: (318) 435-2146 |
| NPI Number | 1578905386 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578905386 | NPI | - | NPPES |
| 2458604 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2203782560-A (Louisiana) | Primary |
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