Organization
MISS LOU
Active
Other names
Miss Lou
Organization subpart
No
Provider details
NPI number
Authorized official
BEN THOMAS III (OWNER)
(225) 239-5498
Entity
Organization
Contact information
Practice address
4500 LEE RD STE 230, CLEVELAND, OH 44128-2959
(225) 239-5498
(225) 239-5543
Mailing address
8786 GOODWOOD BLVD STE 105, BATON ROUGE, LA 70806-7917
(225) 239-5498
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
01/17/2023
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