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NPI Code Detail

MEDICARE: COMPASS PSYCHIATRIC CENTER, LLC

MEDICARE: COMPASS PSYCHIATRIC CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1164749321
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS PSYCHIATRIC CENTER, LLC
Provider Business Mailing Address
First Line : PO BOX 428
Second Line :
City : CROWLEY
State : LA
Zip : 70527-0428
Country : US
Telephone Number : 337-785-8003
Fax Number : 337-785-8045
Provider Business Practice Location Address
First Line : 4606 LEE ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71302-3235
Country : US
Telephone Number : 337-442-3163
Fax Number : 337-442-4779
Authorized Official
Title or Position : CEO
Name : MARK CULLEN
Credential :
Telephone Number : 337-788-3330
Provider Enumeration Date : 04/28/2010
Last Update Date : 04/28/2010

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Directions to “COMPASS PSYCHIATRIC CENTER, LLC ” Practice Location

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