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Organization
FAMILY THERAPY CLINIC OF LOUISIANA, LLC
Active
Organization
FAMILY THERAPY CLINIC OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH G DUCHMANN PHD, MP (OWNER/MANAGER)
(225) 292-0155
Entity
Organization
Contact information
Practice address
7738 DON BUDGE AVE, BATON ROUGE, LA 70810-1710
(225) 292-0155
(844) 715-7911
Mailing address
PO BOX 83980, BATON ROUGE, LA 70884-3980
(225) 292-0155
(844) 715-7911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
10/20/2021
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