Organization
DEPARTMENT OF HEALTH & HOSPITALS
Active
Other names
OBH-Columbia Addictive Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS PARKS MSW (OAD REGIONAL ADMINISTRATOR)
(318) 362-3270
Entity
Organization
Contact information
Practice address
5159 HIGHWAY 4 E, COLUMBIA, LA 71418-3581
(318) 362-3270
(318) 362-3268
Mailing address
5159 HIGHWAY 4 E, COLUMBIA, LA 71418-3581
(318) 362-3270
(318) 362-3268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW 4537
LA
1041C0700X
Clinical Social Worker
Primary
LCSW9759
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H6210
BCBS
LA
Enumeration date
10/18/2006
Last updated
03/22/2011
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