| Jeannie K Beaushaw, Llc | |
|
119 Village St Suite A Slidell LA 70458-5301 | |
| (985) 502-0264 | |
| Not Available |
| Full Name | Jeannie K Beaushaw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 119 Village St, Slidell, Louisiana |
| Authorized Official Name and Position | Jeannie Kaye Beaushaw (OWNER) |
| Authorized Official Contact | 9855020264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannie K Beaushaw, Llc 119 Village St Suite A Slidell LA 70458-5301 Ph: (985) 502-0264 | Jeannie K Beaushaw, Llc 119 Village St Suite A Slidell LA 70458-5301 Ph: (985) 502-0264 |
| NPI Number | 1891167623 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891167623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1942 (Louisiana) | Primary |
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