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Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Other names
Winnsboro/Columbia Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEBORD LCSW (REGIONAL ADMINISTRAT)
(318) 362-3270
Entity
Organization
Contact information
Practice address
5159 HIGHWAY 4 E, COLUMBIA, LA 71418-3580
(318) 649-2333
(318) 362-3268
Mailing address
2513 FERRAND STREET, MONROE, LA 71201
(318) 362-3270
(318) 362-3268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
369
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710695
—
LA
Enumeration date
01/25/2007
Last updated
07/23/2013
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