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Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Other names
Tallulah Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY ASHLEY LCSW (MANAGER)
(318) 574-1713
Entity
Organization
Contact information
Practice address
1012 JOHNSON ST, TALLULAH, LA 71282-5216
(318) 574-1713
(318) 574-2299
Mailing address
1012 JOHNSON ST, TALLULAH, LA 71282-5216
(318) 574-1713
(318) 574-2299
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
90
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710351
—
LA
Enumeration date
01/31/2007
Last updated
07/24/2013
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