Southeast Louisiana State Hospital in Mandeville - Psychiatry

Southeast Louisiana State Hospital - NPI 1518129907

Southeast Louisiana State Hospital is a Psychiatry in Mandeville, Louisiana. Southeast Louisiana State Hospital practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Southeast Louisiana State Hospital is 1518129907. The last update date is 2008-06-27.

Southeast Louisiana State Hospital's current location address is Po Box 3850, Mandeville, Louisiana. You can contact this provider via phone number 9856266300 and fax number 9856266557. The mailing address for Southeast Louisiana State Hospital is Po Box 3850, Mandeville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southeast Louisiana State Hospital
Address Po Box 3850, Mandeville, Louisiana
Phone Number 9856266300
Fax Number 9856266557
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Gonzales B Patricia
Credentials MSW LCSW
Telephone Number 9156266300

NPI Number Detail

NPI Number 1518129907
Provider Enumeration Date 2008-06-27
Last Updated Date 2008-06-27

Provider Mailing Address Detail

Address Po Box 3850
City Mandeville
State Louisiana (LA)
Post Code 704703850
Phone Number 9856266300
Fax Number 9856266557

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 214
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1946109 LA --
5D455 MEDICARE

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FAQs about Southeast Louisiana State Hospital

What is the unique provider identifier assigned to Southeast Louisiana State Hospital?

The Southeast Louisiana State Hospital has been issued the NPI (National Provider Identifier) 1518129907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Southeast Louisiana State Hospital located?

The Southeast Louisiana State Hospital is located at Po Box 3850, Mandeville, LA 704703850.

What is the Southeast Louisiana State Hospital's area of specialization and corresponding taxonomy classification?

The Southeast Louisiana State Hospital's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.

When was the Southeast Louisiana State Hospital's 1518129907 issued?

The Southeast Louisiana State Hospital's 1518129907 was issued on 2008-06-27.

When was the information regarding Southeast Louisiana State Hospital most recently updated?

The details pertaining to the Southeast Louisiana State Hospital, including its address, specialty, and other relevant information, were last refreshed on 2008-06-27.

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