Beauregard Behavioral Health Clinic
Organization Active NPI Clinic/Center · Deridder, LA
NPI 1629319223 · NPPES record last updated Mar 6, 2013
Key facts
- NPI
- 1629319223
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BEAUREGARD BEHAVIORAL HEALTH CLINIC
- Practice address
- 106 W Port St
Deridder, LA 70634-4040 - Phone
- (337) 462-1641
- NPI assigned
- Mar 6, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Natha Gantt, LCSW
- Title
- Clinic Manager
- Phone
- (337) 462-1641
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- La Best Operation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
106 W Port St
Deridder, LA 70634-4040
Mailing address
106 W Port St
Deridder, LA 70634-4040
Phone (337) 462-1641
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.