Organization
DNP-OUTPATIENT
Active
Parent organization
SOUTHEAST LOUISIANA STATE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST LOUISIANA STATE HOSPITAL
Authorized official
PATRICIA GONZALES (C.E.O.)
(985) 626-6300
Entity
Organization
Contact information
Practice address
23515 HWY 190, MANDEVILLE, LA 70448
(985) 626-6300
(985) 626-6557
Mailing address
PO BOX 3850, MANDEVILLE, LA 70470-3850
(985) 626-6300
(985) 626-6557
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up