| Excellence Behavioral Health | |
|
55 Dominican Rd La Place LA 70068-3438 | |
| (504) 343-6774 | |
| Not Available |
| Full Name | Excellence Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 55 Dominican Rd, La Place, Louisiana |
| Authorized Official Name and Position | Brunisha Grant (CEO) |
| Authorized Official Contact | 5043436774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Behavioral Health 55 Dominican Rd La Place LA 70068-3438 Ph: (504) 343-6774 | Excellence Behavioral Health 55 Dominican Rd La Place LA 70068-3438 Ph: (504) 343-6774 |
| NPI Number | 1952756942 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952756942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 10705599#9ES93 (Louisiana) | Primary |
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