Organization
BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHAETRA KAFUNYA RANEY-SEMIEN LCSW (DIRECTOR)
(318) 335-3390
Entity
Organization
Contact information
Practice address
119 N. 13TH STREET, OAKDALE, LA 71463
(318) 335-3390
(318) 335-2907
Mailing address
119 N. 13TH STREET, OAKDALE, LA 71463
(318) 335-3390
(318) 335-2907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1625141
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625141
—
LA
Enumeration date
05/07/2007
Last updated
08/22/2020
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