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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