Organization
A-1 CUSTOMIZED COMPANION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHUN SENELL DOYLE LAC (DIRECTOR)
(504) 368-5545
Entity
Organization
Contact information
Practice address
2100 BELLE CHASSE HWY # B, GRETNA, LA 70053-6651
(504) 368-5545
(504) 368-5509
Mailing address
2100 BELLE CHASSE HWY # B, GRETNA, LA 70053-6651
(504) 368-5545
(504) 368-5509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014
—
LA
Enumeration date
08/26/2009
Last updated
08/26/2009
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