| Psychiatric Center Llc | |
|
324 W Hale St Lake Charles LA 70601-8439 | |
| (337) 433-9177 | |
| (337) 433-9173 |
| Full Name | Psychiatric Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 324 W Hale St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Ehtesham U Syed (OWNER) |
| Authorized Official Contact | 3374339177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Center Llc 324 W Hale St Lake Charles LA 70601-8439 Ph: (337) 433-9177 | Psychiatric Center Llc 324 W Hale St Lake Charles LA 70601-8439 Ph: (337) 433-9177 |
| NPI Number | 1104156967 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 04/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104156967 | NPI | - | NPPES |
| 1823694 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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