OrganizationActive
Behavioral Health Clinic LLC
NPI 1093208548 · Clinical Psychologist · Sulphur, LA
Provider details
- NPI number
- 1093208548
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Andrew Thrasher, Clinical Director(337) 625-5766
- License
- AP05308 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2500 Maplewood Dr Ste 1
Sulphur, LA 70663-6100
Phone: (337) 625-5766
Fax: (225) 208-1056
Approximate (ZIP-level) locationGet directions
Mailing address
2500 Maplewood Dr Ste 1
Sulphur, LA 70663-6100
Registry dates
- Enumerated
- 2018-06-10
- Last updated
- 2018-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.