Provider Demographics
NPI:1407050131
Name:REGIONS COMMUNITY BEHAVORIAL HEALTH CENTER OF HOUMA, INC.
Entity Type:Organization
Organization Name:REGIONS COMMUNITY BEHAVORIAL HEALTH CENTER OF HOUMA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-921-7936
Mailing Address - Street 1:171 BELLE TERRE BLVD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4734
Mailing Address - Country:US
Mailing Address - Phone:225-921-7936
Mailing Address - Fax:
Practice Address - Street 1:746 HIGHWAY 182
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-4704
Practice Address - Country:US
Practice Address - Phone:225-921-7936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty