Organization
BEHAVIROAL HEALTH &WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMONE DELAUNE NOLAN (CPST/PSR)
(985) 789-0975
Entity
Organization
Contact information
Practice address
302 RICHMOND STREET SUITE A, BOGALOUSA, LA 70427
(985) 732-2089
(985) 516-3931
Mailing address
302 RICHMOND ST, BOGALUSA, LA 70427-3942
(985) 732-2089
(985) 516-3931
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1033588793
LA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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