Organization
HEADACHE CLINIC OF CENLA
Active
Other names
The Headache Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY MASON (OFFICE MANAGER)
(318) 664-1817
Entity
Organization
Contact information
Practice address
211 N 3RD ST STE A, ALEXANDRIA, LA 71301-8568
(318) 625-7299
(318) 625-7169
Mailing address
211 N 3RD ST STE A, ALEXANDRIA, LA 71301-8568
(318) 625-7299
(318) 625-7169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811203318
NPI
—
Enumeration date
06/17/2020
Last updated
06/28/2021
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