| Lifenet | |
|
4050 Lonesome Rd Ste A Mandeville LA 70448-7085 | |
| (985) 778-9141 | |
| Not Available |
| Full Name | Lifenet |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4050 Lonesome Rd, Mandeville, Louisiana |
| Authorized Official Name and Position | Sharissa Taylor (OWNER) |
| Authorized Official Contact | 9857789141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifenet 4050 Lonesome Rd Ste A Mandeville LA 70448-7085 Ph: (985) 778-9141 | Lifenet 4050 Lonesome Rd Ste A Mandeville LA 70448-7085 Ph: (985) 778-9141 |
| NPI Number | 1740539410 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740539410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP03867 (Louisiana) | Primary |
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