| Epiphany Healthcare Of Hammond | |
|
906 Cm Fagan Drive Bldg A Ste 6a Hammond LA 70403 | |
| (985) 956-7370 | |
| (985) 956-7371 |
| Full Name | Epiphany Healthcare Of Hammond |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, Louisiana |
| Authorized Official Name and Position | Christopher Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9852224050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Healthcare Of Hammond 906 Cm Fagan Drive Bldg A Ste 6a Hammond LA 70403 Ph: (985) 222-4050 | Epiphany Healthcare Of Hammond 906 Cm Fagan Drive Bldg A Ste 6a Hammond LA 70403 Ph: (985) 956-7370 |
| NPI Number | 1477041630 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477041630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 2203783830 (Louisiana) | Secondary |
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