Lakeshore Counseling Center | |
823 Carroll St Ste B Mandeville LA 70448-5126 | |
(985) 674-0488 | |
Not Available |
Full Name | Lakeshore Counseling Center |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 823 Carroll St Ste B, Mandeville, Louisiana |
Authorized Official Name and Position | Jason Burt (EVP OF ENTERPRISE & ADMINISTRATIO) |
Authorized Official Contact | 5044868674 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeshore Counseling Center 823 Carroll St Ste B Mandeville LA 70448-5126 Ph: (985) 674-0488 | Lakeshore Counseling Center 823 Carroll St Ste B Mandeville LA 70448-5126 Ph: (985) 674-0488 |
NPI Number | 1285154690 |
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Provider Enumeration Date | 06/27/2017 |
Last Update Date | 09/23/2024 |
Certification Date | 09/23/2024 |
Identifier | Type | State | Issuer |
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1285154690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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