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TDPK LLC NPI 1598383358


NPI Information

NPI: 1598383358
Provider Name: TDPK, LLC

Doing Business As: CYPRESS GROVE BEHAVIORAL HEALTH

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 19D1043372

Address:
4673 EUGENE WARE BLVD
BASTROP, LA
ZIP 71220
Phone: (318) 281-2448
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TDPK, LLC is a psychiatric hospital in Bastrop, LA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. TDPK, LLC NPI is 1598383358. The provider is registered as an organization entity type.
The provider Is Doing Business As Cypress Grove Behavioral Health.

The provider's business location address is:

4673 EUGENE WARE BLVD
BASTROP, LA
ZIP 71220-425
Phone: (318) 281-2448

The provider's authorized official is Paul Coburn .
The authorized official title is Managing Member and has the following contact phone number (318) 281-2448.

The CLIA number assigned to this NPI record is 19D1043372 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 1/24/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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