Organization
THIBODAUX BEHAVIORAL HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA DEVABHAKTUNI MD (OWNER/MD)
(985) 387-1198
Entity
Organization
Contact information
Practice address
209 NEW HOPE DR, THIBODAUX, LA 70301-8087
(985) 387-1198
Mailing address
209 NEW HOPE DR, THIBODAUX, LA 70301-8087
(985) 852-2317
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/30/2023
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