Organization
INDEPENDENT BEHAVIORAL MENTAL HEALTH, LLC
Active
Other names
IBMH, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TATIANA SOFIA BEGAULT B.S. (PROGRAM COORDINATOR)
(504) 275-7489
Entity
Organization
Contact information
Practice address
1385 S RIDGE DR, MANDEVILLE, LA 70448-1022
(888) 214-4264
Mailing address
1385 S RIDGE DR, MANDEVILLE, LA 70448-1022
(888) 214-4264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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