| Southeast Mental Health Llc | |
|
300 W Morris Ave Hammond LA 70403-4120 | |
| (318) 473-0863 | |
| (318) 473-9889 |
| Full Name | Southeast Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 300 W Morris Ave, Hammond, Louisiana |
| Authorized Official Name and Position | Renessa L Fowlkes (BILLING SUPERVISOR) |
| Authorized Official Contact | 3184730863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Mental Health Llc 3700 Bayou Rapides Rd Alexandria LA 71303-3601 Ph: (318) 473-0863 | Southeast Mental Health Llc 300 W Morris Ave Hammond LA 70403-4120 Ph: (318) 473-0863 |
| NPI Number | 1356442099 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356442099 | NPI | - | NPPES |
| 61350 | Other | LA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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