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2400 Edenborn Ave Metairie LA 70001-1817 | |
(504) 831-6561 | |
(504) 835-3156 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 2400 Edenborn Ave, Metairie, Louisiana |
Authorized Official Name and Position | Willie Green (CEO) |
Authorized Official Contact | 5048316561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2400 Edenborn Ave Metairie LA 70001-1817 Ph: (504) 831-6561 | 2400 Edenborn Ave Metairie LA 70001-1817 Ph: (504) 831-6561 |
NPI Number | 1538357876 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 09/29/2022 |
Certification Date | 09/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538357876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |