Organization
TRUTH180 ADOLESCENT AND ADULT CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RUSSELL LCSW, LAC (CLINICAL DIRECTOR)
(985) 809-9900
Entity
Organization
Contact information
Practice address
20234 HIGHWAY 36 STE BANDC, COVINGTON, LA 70433-8606
(985) 809-9900
(985) 809-9940
Mailing address
PO BOX 5356, SLIDELL, LA 70469-5356
(985) 809-9900
(985) 809-9940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
225800000X
Recreation Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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