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Southern Psychiatric Services Llc
Psychiatric/Mental Health Nurse Practitioner in Iowa, Louisiana
NPI 1992467641

Southern Psychiatric Services Llc is a Psychiatric/Mental Health Nurse Practitioner based in Lake Charles, LA and is specialized in Psychiatric/Mental Health. Southern Psychiatric Services Llc practices in Iowa, LA. The NPI Number for Southern Psychiatric Services Llc is 1992467641 and holds a License No. (Louisiana).

The current practice location address for Southern Psychiatric Services Llc is 7490 Buckskin Dr, Iowa, LA and can be reached out via phone at 337-540-7436.

Location: 7490 Buckskin Dr, Iowa, LA, 70601-7897
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992467641
Provider Name
Southern Psychiatric Services Llc
Credential
Provider Entity Type
Organization
Address
7490 Buckskin Dr, Iowa, LA, 70601-7897
Phone Number
337-540-7436
Fax Number
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12345 05 LA
institution
Provider Business Practice Location Address Details
Address
7490 Buckskin Dr
City
Iowa
State
Louisiana
Zip
70647-4429
Phone Number
337-540-7436
Fax Number
person
Provider Business Mailing Address Details
Address
7490 Buckskin Dr
City
Iowa
State
Louisiana
Zip
70647-4429
Phone Number
337-540-7436
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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