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Mmo Jennings, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Sulphur, Louisiana
NPI 1073594610

Mmo Jennings, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Baton Rouge, LA and is specialized in Mental Health (Including Community Mental Health Center). Mmo Jennings, Llc practices in Sulphur, LA. The NPI Number for Mmo Jennings, Llc is 1073594610 and holds a License No. 11693 (Louisiana).

The current practice location address for Mmo Jennings, Llc is 110 Darbonne St., Sulphur, LA and can be reached out via phone at 337-527-7878 and via fax at 337-527-7880.

Location: 110 Darbonne St., Sulphur, LA, 70802-5724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073594610
Provider Name
Mmo Jennings, Llc
Credential
Provider Entity Type
Organization
Address
110 Darbonne St., Sulphur, LA, 70802-5724
Phone Number
337-527-7878
Fax Number
337-527-7880
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1626066 05 LA
60041 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
110 Darbonne St.
City
Sulphur
State
Louisiana
Zip
70663
Phone Number
337-527-7878
Fax Number
337-527-7880
person
Provider Business Mailing Address Details
Address
110 Darbonne St.
City
Sulphur
State
Louisiana
Zip
70663
Phone Number
337-527-7878
Fax Number
337-527-7880
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
11693 (Louisiana)
Definition
Definition to come...
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