Organization
START CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY R GUIDRY LCSW-BACS (EXECUTIVE DIRECTOR)
(985) 879-3966
Entity
Organization
Contact information
Practice address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(985) 879-3966
(985) 872-4473
Mailing address
420 MAGNOLIA ST, P.O. BOX 165, HOUMA, LA 70360-6304
(985) 879-3966
(985) 872-4473
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
LA
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2347951
—
LA
Enumeration date
01/06/2012
Last updated
07/11/2023
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