| Diff3r3nt Mentality, Llc | |
|
1415 Corporate Square Dr Ste A Slidell LA 70458-3151 | |
| (601) 300-3704 | |
| Not Available |
| Full Name | Diff3r3nt Mentality, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1415 Corporate Square Dr Ste A, Slidell, Louisiana |
| Authorized Official Name and Position | Aspen J Hardges (LCSW) |
| Authorized Official Contact | 6013003704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diff3r3nt Mentality, Llc 27 Terrace Hills Dr Hattiesburg MS 39402-7335 Ph: (601) 248-5115 | Diff3r3nt Mentality, Llc 1415 Corporate Square Dr Ste A Slidell LA 70458-3151 Ph: (601) 300-3704 |
| NPI Number | 1932810876 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932810876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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