Inhale, Llc | |
1441 Mills Hwy Breaux Bridge LA 70517 | |
(337) 322-2347 | |
Not Available |
Full Name | Inhale, Llc |
---|---|
Speciality | Clinic/Center |
Location | 1441 Mills Hwy, Breaux Bridge, Louisiana |
Authorized Official Name and Position | Cassie M Broussard (OWNER/NP) |
Authorized Official Contact | 3373222347 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inhale, Llc 1441 Mills Hwy Breaux Bridge LA 70517-7304 Ph: (337) 205-7630 | Inhale, Llc 1441 Mills Hwy Breaux Bridge LA 70517 Ph: (337) 322-2347 |
NPI Number | 1821566886 |
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Provider Enumeration Date | 11/07/2018 |
Last Update Date | 06/01/2022 |
Certification Date | 06/01/2022 |
Medicare PECOS PAC ID | 0143560755 |
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Medicare Enrollment ID | O20190319000430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821566886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Provider Name | Cassie M Broussard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831567387 PECOS PAC ID: 5597054254 Enrollment ID: I20180525000245 |
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