Organization
ST. LANDRY BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMBI POLOTZOLA (OWNER)
(337) 566-3342
Entity
Organization
Contact information
Practice address
175 HIGHWAY 743, OPELOUSAS, LA 70570-0541
(337) 945-0979
Mailing address
175 HIGHWAY 743, OPELOUSAS, LA 70570-0541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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