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STONEBRIDGE BEHAVIORAL HEALTH LLC NPI 1154603215


NPI Information

NPI: 1154603215
Provider Name: STONEBRIDGE BEHAVIORAL HEALTH, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2837 ERNEST ST STE C
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 274-2689
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STONEBRIDGE BEHAVIORAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Lake Charles, LA. STONEBRIDGE BEHAVIORAL HEALTH, LLC NPI is 1154603215. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2837 ERNEST ST STE C
LAKE CHARLES, LA
ZIP 70601-785
Phone: (337) 274-2689
Fax: (337) 542-4226

The provider's authorized official is Harvey F Marcus .
The authorized official title is Owner and has the following contact phone number (318) 644-2737.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 12/28/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2364SP0810XClinical Nurse SpecialistPsychiatric/Mental Health, Child & FamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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