BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC NPI 1306479282

NPI Information

BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC is a mental health counselor in Metairie, LA. BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC NPI is 1306479282. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beacon Behavioral Outpatient - Metairie.

The provider's business location address is:

3200 RIDGELAKE DR STE 100
METAIRIE, LA
ZIP 70002-959
Phone: (504) 581-4333
Fax: (504) 581-2812

The provider's authorized official is Phillip Sean Wendell .
The authorized official title is Ceo and has the following contact phone number (225) 810-4040.

The CLIA number assigned to this NPI record is 19D1006759 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2020 and was last updated on 4/12/2021.

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:

Other Identifiers

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