| Columbia Developmental Center | |
| 
					132 Highway 850 Columbia LA 71418-1559  | |
| (318) 649-6097 | |
| (318) 649-2868 | 
| Full Name | Columbia Developmental Center | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 132 Highway 850, Columbia, Louisiana | 
| Authorized Official Name and Position | Michael Anthony Harrell (REGIONAL ASSOCIATE ADMINISTRATOR) | 
| Authorized Official Contact | 3186496097 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Columbia Developmental Center 132 Highway 850 Columbia LA 71418-1559 Ph: (318) 649-6097  | Columbia Developmental Center 132 Highway 850 Columbia LA 71418-1559 Ph: (318) 649-6097  | 
| NPI Number | 1396964409 | 
|---|---|
| Provider Enumeration Date | 04/25/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396964409 | NPI | - | NPPES | 
| 1159638 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PCA7737 (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  | |
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  | |
Northeast Delta Human Services Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5159 Highway 4 E, Columbia, LA 71418 Phone: 318-649-2333 Fax: 318-649-0149  |