| Northshore Behavioral Health, Llc | |
|
107 Highland Park Plz Covington LA 70433-7128 | |
| (985) 892-3178 | |
| Not Available |
| Full Name | Northshore Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 107 Highland Park Plz, Covington, Louisiana |
| Authorized Official Name and Position | David Michael Murdock (OWNER) |
| Authorized Official Contact | 5042378673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Behavioral Health, Llc 107 Highland Park Plz Covington LA 70433-7128 Ph: (985) 892-3178 | Northshore Behavioral Health, Llc 107 Highland Park Plz Covington LA 70433-7128 Ph: (985) 892-3178 |
| NPI Number | 1235160680 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235160680 | NPI | - | NPPES |
| 1480851 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10838R (Louisiana) | Primary |
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