Organization
STONEBRIDGE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY F MARCUS SR. (OWNER)
(318) 644-2737
Entity
Organization
Contact information
Practice address
2837 ERNEST ST STE C, LAKE CHARLES, LA 70601-8785
(337) 274-2689
(337) 542-4226
Mailing address
PO BOX 489, CALHOUN, LA 71225-0489
(318) 644-2737
(337) 542-4226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/15/2011
Last updated
12/28/2011
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