BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC NPI 1477186351

NPI Information

NPI: 1477186351
Provider Name: BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC

Doing Business As: BEACON BEHAVIORAL OUTPATIENT - SLIDELL

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 19D2080076

Address:
2130 1ST ST
SLIDELL, LA
ZIP 70458
Phone: (985) 607-0290
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BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC is a mental health counselor in Slidell, LA. BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC NPI is 1477186351. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beacon Behavioral Outpatient - Slidell.

The provider's business location address is:

2130 1ST ST
SLIDELL, LA
ZIP 70458-432
Phone: (985) 607-0290
Fax: (985) 641-7887

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 19D2080076 - other - hospit outpat facility 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05700076	MEDICAID	MISSISSIPPI
2	1455181	MEDICAID	LOUISIANA
3	194084	OTHER		MEDICARE

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

NPI Synchronization or Removal

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