Graduated: 2023
NPI: 1073060125
Practice Locations (2)
1214 COOLIDGE BLVD
LAFAYETTE, LA 705032621
3375340219
MDB BEHAVIORAL HEALTH SERVICES LLC
1911 MISSION, 66 SUITE B
VICKSBURG, MS 391803762
6014562598
Source: CMS National Downloadable File, September 2026.