360 Mental Health, Llc

NPI 1013314012 - Case Management - 251B00000X

NPI Details
NPI 1013314012
Enumeration Date 11/20/2014
Last Updated 11/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TIFFANY LOUISE TIFFANY
Position OWNER
Phone (337) 256-5917
Fax
Practice Location
1614 EAST MAIN STREET SUITE D
NEW IBERIA LA, 70560, US
Phone (337) 256-5917
Fax
Business Location
1614 EAST MAIN STREET SUITE D
NEW IBERIA LA, 70560, US
Phone (337) 256-5917
Fax
Toxanomy
Taxonomy Code 251B00000X
License State Louisiana
License Number 2693
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According to our database, 360 Mental Health, Llc NPI is 1013314012, taxonomy code is 251B00000X and license number is 2693, license state is located at Louisiana. 360 Mental Health, Llc physically located at 1614 East Main Street Suite D, New Iberia LA, 70560. NPI Number 1033115704 has the healthcare provider type.

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1013314012 NPI number is provided on an as is basis without warranty of any kind. 1013314012 is maintained by the National Plan & Provider Enumeration System. The contents of 360 Mental Health, Llc are for informational purposes only.