institution
Primary And Behavioral Healthcare Services, Pa
Psychiatric/Mental Health Nurse Practitioner in Monroe, Louisiana
NPI 1710545488

Primary And Behavioral Healthcare Services, Pa is a Psychiatric/Mental Health Nurse Practitioner based in Jackson, LA and is specialized in Psychiatric/Mental Health. Primary And Behavioral Healthcare Services, Pa practices in Monroe, LA. The NPI Number for Primary And Behavioral Healthcare Services, Pa is 1710545488 and holds a License No. (Louisiana).

The current practice location address for Primary And Behavioral Healthcare Services, Pa is 2252 Tower Dr Ste 108, Monroe, LA and can be reached out via phone at 769-572-4009 and via fax at 769-572-4021. You can also correspond with Primary And Behavioral Healthcare Services, Pa through the mailing address at 717 E. FORTIFICATION ST., JACKSON, MS - 39202-2402 (mailing address contact number: 769-572-4009).

Location: 2252 Tower Dr Ste 108, Monroe, LA, 39202-2402
institution
Provider Profile Details
NPI Number
1710545488
Provider Name
Primary And Behavioral Healthcare Services, Pa
Credential
Provider Entity Type
Organization
Address
2252 Tower Dr Ste 108, Monroe, LA, 39202-2402
Phone Number
769-572-4009
Fax Number
769-572-4021
Provider Enumeration Date
05/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000 05 MS
institution
Provider Business Practice Location Address Details
Address
2252 Tower Dr Ste 108
City
State
Zip
71201-5765
Phone Number
769-572-4009
Fax Number
769-572-4021
person
Provider Business Mailing Address Details
Address
717 E. Fortification St.
City
State
Zip
39202-2402
Phone Number
769-572-4009
Fax Number
769-572-4021
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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