Organization · Type 2 NPI
Southern Psychiatric Services LLC
Psychiatric/Mental Health Nurse Practitioner · Iowa, LA
NPI number
1992467641
Active
Practice location
7490 Buckskin Dr
Iowa, LA 70647-4429
Mailing address
2829 4th Ave Ste 150
Lake Charles, LA 70601-7897
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1992467641
Southern Psychiatric Services LLC's National Provider Identifier is 1992467641, issued on Oct 11, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Iowa, LA. The record was last updated on Oct 20, 2022.