| Nami Southeast Louisiana | |
|
23577 Martin Way Mandeville LA 70448-7394 | |
| (985) 626-6538 | |
| (877) 361-1631 |
| Full Name | Nami Southeast Louisiana |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 23577 Martin Way, Mandeville, Louisiana |
| Authorized Official Name and Position | Erica Folse (SPECIAL PROJECTS) |
| Authorized Official Contact | 9856266538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nami Southeast Louisiana 1538 Louisiana Ave New Orleans LA 70115-3508 Ph: (504) 896-2345 | Nami Southeast Louisiana 23577 Martin Way Mandeville LA 70448-7394 Ph: (985) 626-6538 |
| NPI Number | 1700997798 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 5092746594 |
|---|---|
| Medicare Enrollment ID | O20050824000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700997798 | NPI | - | NPPES |
| 1926248 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ADC7465 (Louisiana) | Primary |
| Provider Name | Donisha Dunn-lombard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164681847 PECOS PAC ID: 6709952625 Enrollment ID: I20080829000079 |
| Provider Name | Patrick T Oneill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346352945 PECOS PAC ID: 9537297932 Enrollment ID: I20100505000644 |
| Provider Name | Patricia N Hattier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083950836 PECOS PAC ID: 7113162660 Enrollment ID: I20130404000009 |
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