# JENNINGS BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JBH Sulphur Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760644751
- **Authorized official:** STACY GAUDET (BILLING MGR)
- **Authorized official phone:** (337) 527-7878

## Contact information

- **Practice address:** 110 E DARBONNE ST, STE. E, SULPHUR, LA 70663-4958
- **Practice address phone:** (337) 527-7878
- **Practice address fax:** (337) 527-7880
- **Mailing address:** 110 E DARBONNE ST, STE E, SULPHUR, LA 70663-4958
- **Mailing address phone:** (337) 527-7878
- **Mailing address fax:** (337) 527-7880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP 05359 | LA | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 06/30/2008
