Organization
LIFENET BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY EHRETT MCCLAIN (ADMINISTRATOR)
(985) 246-2600
Entity
Organization
Contact information
Practice address
4070 LONESOME RD, SUITE B, MANDEVILLE, LA 70448-7085
(985) 246-2600
(985) 246-2601
Mailing address
4070 LONESOME RD, SUITE B, MANDEVILLE, LA 70448-7085
(985) 246-2600
(985) 246-2601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
020750
LA
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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