| Integrity Behavioral Management, Llc | |
|
5610 Read Blvd New Orleans LA 70127-3106 | |
| (504) 241-8188 | |
| (504) 264-5941 |
| Full Name | Integrity Behavioral Management, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5610 Read Blvd, New Orleans, Louisiana |
| Authorized Official Name and Position | Katrice V Wiggins-lain (OWNER) |
| Authorized Official Contact | 5042418188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Behavioral Management, Llc 5610 Read Blvd New Orleans LA 70127-3106 Ph: (504) 248-2681 | Integrity Behavioral Management, Llc 5610 Read Blvd New Orleans LA 70127-3106 Ph: (504) 241-8188 |
| NPI Number | 1801195649 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Medicare PECOS PAC ID | 6901108273 |
|---|---|
| Medicare Enrollment ID | O20160104000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801195649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 40453949K (Louisiana) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Terry J Lain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295751006 PECOS PAC ID: 6800862319 Enrollment ID: I20090507000015 |
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