Organization
AVOYELLES THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH SQUYRES MELANCON LCSW (OWNER, LCSW)
(225) 324-1516
Entity
Organization
Contact information
Practice address
120 W MARK ST, MARKSVILLE, LA 71351-2306
(318) 253-9216
(318) 346-9054
Mailing address
301 N SEWELL PL, BUNKIE, LA 71322-1939
(225) 324-1516
(318) 346-9054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9029
LA
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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