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Organization

MATHIS HOLDINGS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLIN MATHIS LCSW (OWNER/DIRECTOR)
(318) 255-0010
Entity
Organization

Contact information

Practice address
160 PARISH PARK RD, RUSTON, LA 71270-1681
(318) 255-0010
Mailing address
160 PARISH PARK RD, RUSTON, LA 71270-1681
(318) 255-0010

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
IN PROCESS
LA

Other

Enumeration date
11/01/2006
Last updated
08/22/2020
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