Beacon Behavioral Outpatient - Lutcher | |
2471 Louisiana Ave Lutcher LA 70071-5413 | |
(225) 258-6103 | |
Not Available |
Full Name | Beacon Behavioral Outpatient - Lutcher |
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Speciality | Psychiatric Hospital |
Location | 2471 Louisiana Ave, Lutcher, Louisiana |
Authorized Official Name and Position | Sean Wendell (CEO) |
Authorized Official Contact | 2258104040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beacon Behavioral Outpatient - Lutcher 14707 Perkins Rd Baton Rouge LA 70810-2216 Ph: (225) 810-4040 | Beacon Behavioral Outpatient - Lutcher 2471 Louisiana Ave Lutcher LA 70071-5413 Ph: (225) 258-6103 |
NPI Number | 1881996940 |
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Provider Enumeration Date | 11/23/2010 |
Last Update Date | 11/13/2023 |
Certification Date | 11/13/2023 |
Medicare PECOS PAC ID | 1557542313 |
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Medicare Enrollment ID | O20110226000127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881996940 | NPI | - | NPPES |
194102 | Other | MEDICARE | |
2184164 | Medicaid | LA |
Beacon Behavioral Outpatient - Lutcher Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2471 Louisiana Ave, Lutcher, LA 70071 Phone: 225-258-6112 Fax: 225-258-6111 | |
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