Organization
LHTC PSYCH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH VERRET COLLINS NP (OWNER)
(337) 212-1746
Entity
Organization
Contact information
Practice address
850 KALISTE SALOOM RD STE 112, LAFAYETTE, LA 70508-4230
(337) 504-2990
(337) 504-5653
Mailing address
120 GENNA LN, YOUNGSVILLE, LA 70592-6269
(337) 212-1746
(855) 452-4557
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP08493
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2406051
—
LA
Enumeration date
08/19/2015
Last updated
04/27/2020
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