Cenla Mental Health LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Deville, LA

NPI 1053975748 · NPPES record last updated Apr 28, 2019

Key facts

NPI
1053975748
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
CENLA MENTAL HEALTH LLC
Practice address
307 Buckeye Ridge Loop
Deville, LA 71328-8515
Phone
(318) 613-4762
NPI assigned
Apr 28, 2019
Organization subpart
No

Authorized official

Name
George King, NURSE PRACTITIONER
Title
NP
Phone
(318) 613-4762

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

307 Buckeye Ridge Loop
Deville, LA 71328-8515

Mailing address

307 Buckeye Ridge Loop
Deville, LA 71328-8515
Phone (318) 613-4762

Other practice location 1

5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (318) 443-9339

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL keithkingfnp@yahoo.com

Other providers in Deville, LA

All providers in Deville, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.