ALLY MENTAL HEALTH LLC NPI 1205463254

NPI Information

ALLY MENTAL HEALTH, LLC is a mental health (including community mental health center) clinic center in Prairieville, LA. ALLY MENTAL HEALTH, LLC NPI is 1205463254. The provider is registered as an organization entity type.

The provider's business location address is:

16270 AIRLINE HWY STE D
PRAIRIEVILLE, LA
ZIP 70769-589
Phone: (225) 369-0322
Fax: (778) 383-7429

The provider's authorized official is Shantell Burns .
The authorized official title is Owner and has the following contact phone number (225) 369-0322.

The CLIA number assigned to this NPI record is 19D2191719 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2020 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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