Organization Name: | VANGUARD BEHAVIORAL HEALTH CONSULTANTS, |
NPI Number: | 1194135376 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLLEEN WEHNER (OFFICE MANAGER) |
Mailing Address: | 315 S Highland Dr Suite A Many |
State: | LA US |
Postal Code: | 714493719 |
Phone Number: | 3185176222 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2014 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |