Organization · Type 2 NPI

Springlake Behavioral Health Bunkie LLC

Mental Health Counselor · Opelousas, LA

NPI number 1104459064 Active

Practice location

5620 I 49 N Service Rd Ste 11
Opelousas, LA 70570-0780

Call (337) 678-3611 Map

Fax (337) 678-3599

Mailing address

4601 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9656

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Opelousas

See all in Opelousas →

NPI record

NPI: 1104459064
Entity type: Organization (Type 2)
Issued: Feb 19, 2020
Last updated: Dec 24, 2020
Status: Active
Subpart: Yes of Springlake Behavioral Health Bunkie LLC

Other names

<unavail>
Beacon Behavioral Outpatient - Opelousas · doing business as

Authorized official

Mr. Phillip Sean Wendell
CEO
(337) 678-3611

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104459064

Springlake Behavioral Health Bunkie LLC's National Provider Identifier is 1104459064, issued on Feb 19, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Opelousas, LA. The record was last updated on Dec 24, 2020.