Organization
B MARTIN THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY M MARTIN LCSW (SOLE MEMBER)
(337) 515-1762
Entity
Organization
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
Mailing address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8657
LA
Other
Enumeration date
05/25/2016
Last updated
01/18/2017
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