Organization
ALLY MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTELL BURNS DNP (OWNER)
(225) 402-2299
Entity
Organization
Contact information
Practice address
16270 AIRLINE HWY STE D, PRAIRIEVILLE, LA 70769-4589
(225) 402-2299
(866) 258-9870
Mailing address
PO BOX 1109, PRAIRIEVILLE, LA 70769-1109
(225) 402-2299
(866) 258-9870
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
01/09/2024
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