Organization
MONROE BEHAVIORAL HEALTH CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI BEAVERS (CREDENTIALING MGR)
(318) 325-6200
Entity
Organization
Contact information
Practice address
4673 EUGENE WARE BLVD, BASTROP, LA 71220-1425
(318) 281-2448
Mailing address
100 S 2ND ST, MONROE, LA 71201-8537
(318) 325-6200
(318) 325-6202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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