Provider Demographics
NPI:1720633449
Name:LOGAN-HILTON, LLC
Entity type:Organization
Organization Name:LOGAN-HILTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LOGAN
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DSW
Authorized Official - Phone:318-542-1155
Mailing Address - Street 1:6006 BAYOU ROBERT DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2667
Mailing Address - Country:US
Mailing Address - Phone:318-442-0064
Mailing Address - Fax:
Practice Address - Street 1:3750 PARLIAMENT DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3011
Practice Address - Country:US
Practice Address - Phone:318-443-4466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty