Exceptional Behavioral Health Services Llc | |
2439 Manhattan Blvd Ste 308 Harvey LA 70058-5328 | |
(504) 235-7778 | |
(504) 366-5260 |
Full Name | Exceptional Behavioral Health Services Llc |
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Speciality | Clinic/Center |
Location | 2439 Manhattan Blvd, Harvey, Louisiana |
Authorized Official Name and Position | Tanika Andrews (CEO/OWNER) |
Authorized Official Contact | 5042357778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Exceptional Behavioral Health Services Llc 2439 Manhattan Blvd Ste 308 Harvey LA 70058-5328 Ph: (504) 235-7778 | Exceptional Behavioral Health Services Llc 2439 Manhattan Blvd Ste 308 Harvey LA 70058-5328 Ph: (504) 235-7778 |
NPI Number | 1235473133 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 06/23/2023 |
Certification Date | 06/23/2023 |
Medicare PECOS PAC ID | 4183985062 |
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Medicare Enrollment ID | O20180312000913 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235473133 | NPI | - | NPPES |
Provider Name | Bennett O Nwankpa |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043341944 PECOS PAC ID: 2668533720 Enrollment ID: I20081208000280 |
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