| Beacon Behavioral Outpatient - Metairie | |
|
3200 Ridgelake Dr Ste 100 Metairie LA 70002-4959 | |
| (504) 581-4333 | |
| (504) 581-2812 |
| Full Name | Beacon Behavioral Outpatient - Metairie |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3200 Ridgelake Dr Ste 100, Metairie, 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 - Metairie 4601 Bluebonnet Blvd Ste B Baton Rouge LA 70809-9656 Ph: (225) 810-4040 | Beacon Behavioral Outpatient - Metairie 3200 Ridgelake Dr Ste 100 Metairie LA 70002-4959 Ph: (504) 581-4333 |
| NPI Number | 1306479282 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 04/12/2021 |
| Certification Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306479282 | NPI | - | NPPES |
| 05700076 | Medicaid | MS | |
| 1455181 | Medicaid | LA | |
| 194084 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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The Relationship Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4323 Division St, Suite 208, Metairie, LA 70002 Phone: 504-239-1974 | |
Art Scudari Lpc-s Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Athania Pkwy, Metairie, LA 70001 Phone: 504-756-9855 Fax: 504-832-5596 | |
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