Organization
TELE MED CLINIX LOUSIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BROWN (CEO)
(321) 209-4040
Entity
Organization
Contact information
Practice address
215 NORTHPARK DR, MONROE, LA 71203-6520
(321) 209-4040
(321) 999-9240
Mailing address
570 LEXINGTON GREEN LN, SANFORD, FL 32771-1026
(321) 209-4040
(321) 999-9240
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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