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Organization

WOODDALE MENTAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENESSA L FOWLKES (BILLING SUPERVISOR)
(318) 473-0863
Entity
Organization

Contact information

Practice address
1335 WOODDALE BLVD # B, BATON ROUGE, LA 70806-2328
(318) 473-0863
(318) 473-9889
Mailing address
3700 BAYOU RAPIDES RD, ALEXANDRIA, LA 71303-3601
(318) 473-0863
(318) 473-9889

Taxonomy

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

Other

Enumeration date
09/26/2006
Last updated
10/17/2007
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