Organization
CARING HEARTS AND HANDS OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMIKA MASON (BILLING AND CREDENTIALING MANAGER)
(337) 308-0974
Entity
Organization
Contact information
Practice address
3414 MOSS ST STE H, LAFAYETTE, LA 70507-6107
(337) 308-0974
(318) 597-5141
Mailing address
3414 MOSS ST STE H, LAFAYETTE, LA 70507-6107
(337) 308-0974
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34142020
—
LA
Enumeration date
12/05/2019
Last updated
12/05/2019
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