| Beacon Behavioral Outpatient - Lutcher | |
|
2471 Louisiana Ave Lutcher LA 70071-5413 | |
| (225) 258-6112 | |
| (225) 258-6111 |
| Full Name | Beacon Behavioral Outpatient - Lutcher |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2471 Louisiana Ave, Lutcher, Louisiana |
| Authorized Official Name and Position | Phillip Sean Wendell (CEO) |
| Authorized Official Contact | 2258104040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Outpatient - Lutcher 4601 Bluebonnet Blvd Ste B Baton Rouge LA 70809-9656 Ph: (225) 810-4040 | Beacon Behavioral Outpatient - Lutcher 2471 Louisiana Ave Lutcher LA 70071-5413 Ph: (225) 258-6112 |
| NPI Number | 1386277283 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386277283 | NPI | - | NPPES |
| 2184164 | Medicaid | LA | |
| 194102 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Perspektives Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2418 Exchange Alley, Suite B, Lutcher, LA 70071 Phone: 225-623-9625 | |
Cambre Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2232 S Albert St, Lutcher, LA 70071 Phone: 225-306-3177 Fax: 225-306-3177 | |
Beacon Behavioral Outpatient - Lutcher Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2471 Louisiana Ave, Lutcher, LA 70071 Phone: 225-258-6103 |