Provider Demographics
NPI:1194135376
Name:VANGUARD BEHAVIORAL HEALTH CONSULTANTS,
Entity type:Organization
Organization Name:VANGUARD BEHAVIORAL HEALTH CONSULTANTS,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-517-6222
Mailing Address - Street 1:315 SOUTH HIGHLAND DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449
Mailing Address - Country:UM
Mailing Address - Phone:318-517-6222
Mailing Address - Fax:318-517-6222
Practice Address - Street 1:315 S HIGHLAND DR
Practice Address - Street 2:SUITE A
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3719
Practice Address - Country:US
Practice Address - Phone:318-517-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty