Organization
PREVENTIVE MEASURES PROGRAMS INC
Active
Organization
PREVENTIVE MEASURES PROGRAMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA HOLMES LPC (ADMINSTRATOR)
(318) 574-0098
Entity
Organization
Contact information
Practice address
805 N BEECH ST, TALLULAH, LA 71282-3809
(318) 574-0098
(318) 574-0066
Mailing address
805 N BEECH ST, TALLULAH, LA 71282-3809
(318) 574-0098
(318) 574-0066
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1882224
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649419011
—
LA
Enumeration date
11/06/2014
Last updated
11/06/2014
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