Slidell Counseling, Llc | |
2800 Gause Blvd E Suite B Slidell LA 70461-4247 | |
(985) 649-0455 | |
(985) 649-0455 |
Full Name | Slidell Counseling, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2800 Gause Blvd E, Slidell, Louisiana |
Authorized Official Name and Position | Kim Marcus Gordon (OWNER) |
Authorized Official Contact | 5043198247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Slidell Counseling, Llc 113 Herring Dr Slidell LA 70461-1113 Ph: (504) 319-8247 | Slidell Counseling, Llc 2800 Gause Blvd E Suite B Slidell LA 70461-4247 Ph: (985) 649-0455 |
NPI Number | 1316178353 |
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Provider Enumeration Date | 08/06/2009 |
Last Update Date | 08/06/2009 |
Identifier | Type | State | Issuer |
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1316178353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4592 (Louisiana) | Primary |
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