| Beacon Behavioral Health Northshore Inc | |
|
820 Asbury Dr Mandeville LA 70471 | |
| (985) 727-6090 | |
| (985) 727-6096 |
| Full Name | Beacon Behavioral Health Northshore Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 820 Asbury Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Earl J Wilde (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 2258104040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Health Northshore Inc 9938 Airline Hwy Suite 200 Baton Rouge LA 70816-8100 Ph: (225) 810-4040 | Beacon Behavioral Health Northshore Inc 820 Asbury Dr Mandeville LA 70471 Ph: (985) 727-6090 |
| NPI Number | 1215929211 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215929211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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