| Psychotherapy Clinic Llc | |
|
2500 Maplewood Dr Suite 1 Sulphur LA 70663-6100 | |
| (337) 625-5766 | |
| (225) 208-1056 |
| Full Name | Psychotherapy Clinic Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2500 Maplewood Dr, Sulphur, Louisiana |
| Authorized Official Name and Position | Andrew Thrasher (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3376255766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Clinic Llc 2500 Maplewood Dr Suite 1 Sulphur LA 70663-6100 Ph: (337) 625-5766 | Psychotherapy Clinic Llc 2500 Maplewood Dr Suite 1 Sulphur LA 70663-6100 Ph: (337) 625-5766 |
| NPI Number | 1902274467 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902274467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1055 (Louisiana) | Primary |
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