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Organization

DEPARTMENT OF HEALTH AND HOSPITALS

Active
Other names
Ville Platte Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NANCY F. BOURQUE LCSW (MENTAL HEALTH CENTER MANAGER)
(337) 363-5526
Entity
Organization

Contact information

Practice address
312 COURT ST, VILLE PLATTE, LA 70586-5248
(337) 363-5525
(337) 363-1567
Mailing address
312 SOUTH COURT ST., VILLE PLATTE, LA 70586
(337) 363-5525
(337) 363-1567

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
111
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710296
LA
Enumeration date
10/05/2006
Last updated
10/24/2013
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