Provider Demographics
NPI:1033700307
Name:RURAL BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:RURAL BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL-FLINT
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL PSYCHOLOGIST
Authorized Official - Phone:985-732-0253
Mailing Address - Street 1:59448 HIGHWAY 10
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-8508
Mailing Address - Country:US
Mailing Address - Phone:985-732-0253
Mailing Address - Fax:888-724-7415
Practice Address - Street 1:59448 HIGHWAY 10
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-8508
Practice Address - Country:US
Practice Address - Phone:985-732-0253
Practice Address - Fax:888-724-7415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty