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1265267819
SOUTHERN PSYCHIATRIC & MEDICAL SERVICES LLC
HOUMA, LA
NPI
1265267819
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Entity Type
Organization
Authorized Contact
BREALON LIRETTE
Pmhnp
985-635-6943
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
SOUTHERN PSYCHIATRIC & MEDICAL SERVICES LLC
8175 PARK AVE
HOUMA, LA 70364-3438
Phone number: 985-635-6943
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Mailing Address
SOUTHERN PSYCHIATRIC & MEDICAL SERVICES LLC
PO BOX 1536
MANDEVILLE, LA 70470-1536
Phone number: 985-635-6943
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