# CLINICS OF THE SOUTHEAST LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLINIC OF THE SOUTHEAST LLC
- **Other names:** Bogalusa Family Medicine & Behavioral Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053082743
- **Legal business name:** CLINIC OF THE SOUTHEAST LLC
- **Authorized official:** ANTHONY JUDE PALAZZO (CEO)
- **Authorized official phone:** (985) 735-7707

## Contact information

- **Practice address:** 219 S BORDER DR, BOGALUSA, LA 70427-3671
- **Practice address phone:** (985) 732-1568
- **Mailing address:** PO BOX 370, BOGALUSA, LA 70429-0370
- **Mailing address phone:** (985) 732-1568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 09/23/2021