MEDICARE: BEHAVIORAL SOLUTIONS, 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
1	251S00000X	Community/Behavioral Health Agency	LPC-2559	LA

General Provider Information

NPI Number	:	1497092779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	215 BRES AVE
Second Line	:	SUITE G
City	:	MONROE
State	:	LA
Zip	:	71201-5860
Country	:	US
Telephone Number	:	318-450-5065
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 OLD STERLINGTON RD
Second Line	:	APT 175
City	:	MONROE
State	:	LA
Zip	:	71203-2659
Country	:	US
Telephone Number	:	318-450-5065
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	DR. YOLANDA A DUPRE
Credential	:	PH.D., LPC, LMFT
Telephone Number	:	318-450-5065

Provider Enumeration Date	:	01/07/2013
Last Update Date	:	01/07/2013

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