Organization
PSYCHOTHERAPY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THRASHER PH.D. (CLINICAL DIRECTOR)
(337) 625-5766
Entity
Organization
Contact information
Practice address
2500 MAPLEWOOD DR, SUITE 1, SULPHUR, LA 70663-6100
(337) 625-5766
(225) 208-1056
Mailing address
2500 MAPLEWOOD DR, SUITE 1, SULPHUR, LA 70663-6100
(337) 625-5766
(225) 208-1056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1055
LA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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