Organization
PROGRESSIVE BEHAVIORAL CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA D. KIRT (OWNER)
(985) 385-1147
Entity
Organization
Contact information
Practice address
1202 VICTOR II BLVD, MORGAN CITY, LA 70380-1333
(985) 385-1147
(985) 385-3934
Mailing address
1202 VICTOR II BLVD, MORGAN CITY, LA 70380-1333
(985) 385-1147
(985) 385-3934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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