Organization
AT & TC CONSULTATION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEA CONLEY MD (INCORPORATOR/ORGANIZER)
(318) 281-2448
Entity
Organization
Contact information
Practice address
4673 EUGENE WARE BLVD, BASTROP, LA 71220-1425
(318) 281-2448
(318) 281-5445
Mailing address
410 S FRANKLIN ST, BASTROP, LA 71220-4533
(318) 281-2448
(318) 281-5445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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