Organization
IMMANUELS HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN HORNE (OWNER)
(318) 323-0463
Entity
Organization
Contact information
Practice address
2404 FERRAND ST STE 23, MONROE, LA 71201-3233
(318) 323-0463
(318) 323-0465
Mailing address
2404 FERRAND STREET, SUITE 23, MONROE, LA 71201
(318) 323-0463
(318) 323-0465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
07/07/2023
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