# SMH PROFESSIONAL SERV AT SMH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942203476
- **Authorized official:** BILL DAVIS (CFO)
- **Authorized official phone:** (985) 649-8866

## Contact information

- **Practice address:** 1001 GAUSE BLVD, SLIDELL, LA 70458-2939
- **Practice address phone:** (985) 643-2200
- **Mailing address:** 120 INNWOOD DR, COVINGTON, LA 70433-9123
- **Mailing address phone:** (985) 892-3225
- **Mailing address fax:** (985) 234-0628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |

## Other

- **Enumeration date:** 05/30/2005
- **Last updated:** 09/21/2009