| Lifenet Psychiatry Services, Llc | |
|
500 Mariners Plaza Dr Ste 504 Mandeville LA 70448-6852 | |
| (985) 246-1250 | |
| (985) 246-1251 |
| Full Name | Lifenet Psychiatry Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 500 Mariners Plaza Dr Ste 504, Mandeville, Louisiana |
| Authorized Official Name and Position | Ehrett Mcclain (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 9852461250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifenet Psychiatry Services, Llc 500 Mariners Plaza Dr Ste 504 Mandeville LA 70448-6852 Ph: (985) 246-1250 | Lifenet Psychiatry Services, Llc 500 Mariners Plaza Dr Ste 504 Mandeville LA 70448-6852 Ph: (985) 246-1250 |
| NPI Number | 1821436353 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821436353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD.010946 (Louisiana) | Primary |
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