Organization
KIMBERLY C. FORCINEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY COPELAND FORCINEL PMHNP (MANAGER)
(318) 455-2080
Entity
Organization
Contact information
Practice address
721 LINWOOD AVE, STONEWALL, LA 71078-9161
(318) 455-2080
Mailing address
721 LINWOOD AVE, STONEWALL, LA 71078-9161
(318) 455-2080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
AP08461
LA
273R00000X
Psychiatric Hospital Unit
AP08461
LA
283Q00000X
Psychiatric Hospital
Primary
AP08461
LA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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