Organization
ACCESS HEALTH LOUISIANA
Active
Other names
Bonnabel High School SBHC Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (PRESIDENT)
(504) 575-3700
Entity
Organization
Contact information
Practice address
2801 BRUIN DRIVE, KENNER, LA 70065-2473
(504) 303-6676
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
2742
LA
2084P0800X
Psychiatry Physician
MD.08844R
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2179756
—
LA
Enumeration date
10/13/2011
Last updated
07/21/2022
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