| Lifenet Behavioral Health | |
|
4070 Lonesome Rd Suite B Mandeville LA 70448-7085 | |
| (985) 246-2600 | |
| (985) 246-2601 |
| Full Name | Lifenet Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4070 Lonesome Rd, Mandeville, Louisiana |
| Authorized Official Name and Position | Wesley Ehrett Mcclain (ADMINISTRATOR) |
| Authorized Official Contact | 9852462600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifenet Behavioral Health 4070 Lonesome Rd Suite B Mandeville LA 70448-7085 Ph: (985) 246-2600 | Lifenet Behavioral Health 4070 Lonesome Rd Suite B Mandeville LA 70448-7085 Ph: (985) 246-2600 |
| NPI Number | 1093049280 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093049280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 020750 (Louisiana) | Primary |
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