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Organization

DEPARTMENT OF HEALTH AND HOSPITAL

Active
Other names
Lurline Smith Mental Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN PAUL (FACILITY MANAGER)
(985) 624-4450
Entity
Organization

Contact information

Practice address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
(985) 624-4461
Mailing address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
(985) 624-4461

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
119
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710181
LA
Enumeration date
01/19/2007
Last updated
12/27/2007
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