Courtney Allen

Individual provider Active NPI Community/Behavioral Health Agency · Minden, LA

NPI 1922558196 · NPPES record last updated Oct 11, 2016

Key facts

NPI
1922558196
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
409 Meadowview Dr
Minden, LA 71055-3522
Phone
(318) 382-9700
Fax
(318) 382-9703
NPI assigned
Oct 11, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Unlimited Community/Behavioral Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

409 Meadowview Dr
Minden, LA 71055-3522

Mailing address

409 Meadowview Dr
Minden, LA 71055-3522
Phone (318) 382-9700

Other providers in Minden, LA

All providers in Minden, LA · Community/Behavioral Health Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.