Organization
ICARE PSYCHIATRY & CONSULTING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENATA WEATHERSPOON APRN (PRESIDENT/CEO)
(844) 556-8550
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD STE 4B, TERRYTOWN, LA 70056-3950
(844) 556-8550
Mailing address
828 LAKESHORE VILLAGE DR, SLIDELL, LA 70461-6605
(504) 300-4561
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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