Beacon Behavioral Health-slidell, Inc. | |
113 Christian Ln Suite A Slidell LA 70458-1350 | |
(985) 607-0290 | |
Not Available |
Full Name | Beacon Behavioral Health-slidell, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 113 Christian Ln, Slidell, Louisiana |
Authorized Official Name and Position | Sean Wendell (CEO) |
Authorized Official Contact | 2258104040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beacon Behavioral Health-slidell, Inc. 9938 Airline Hwy Suite 200 Baton Rouge LA 70816-8100 Ph: (225) 810-4040 | Beacon Behavioral Health-slidell, Inc. 113 Christian Ln Suite A Slidell LA 70458-1350 Ph: (985) 607-0290 |
NPI Number | 1629275573 |
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Provider Enumeration Date | 07/02/2007 |
Last Update Date | 12/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629275573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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