| |
3925 N I 10 Service Rd W Ste 223 Metairie LA 70002-6858 | |
(504) 592-6920 | |
(504) 605-4657 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 3925 N I 10 Service Rd W Ste 223, Metairie, Louisiana |
Authorized Official Name and Position | Sharonda L Baham (CEO) |
Authorized Official Contact | 5045123037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3925 N I 10 Service Rd W Ste 129 Metairie LA 70002-6831 Ph: (504) 592-6920 | 3925 N I 10 Service Rd W Ste 223 Metairie LA 70002-6858 Ph: (504) 592-6920 |
NPI Number | 1629595848 |
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Provider Enumeration Date | 08/28/2017 |
Last Update Date | 04/20/2020 |
Certification Date | 04/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629595848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Louisiana) | Primary |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |