# STONEBRIDGE BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154603215
- **Authorized official:** MR. HARVEY F MARCUS SR. (OWNER)
- **Authorized official phone:** (318) 644-2737

## Contact information

- **Practice address:** 2837 ERNEST ST STE C, LAKE CHARLES, LA 70601-8785
- **Practice address phone:** (337) 274-2689
- **Practice address fax:** (337) 542-4226
- **Mailing address:** PO BOX 489, CALHOUN, LA 71225-0489
- **Mailing address phone:** (318) 644-2737
- **Mailing address fax:** (337) 542-4226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364SP0810X | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0810X | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 12/28/2011