Organization
LIFENET PSYCHIATRY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EHRETT MCCLAIN (OWNER/ADMINISTRATOR)
(985) 246-1250
Entity
Organization
Contact information
Practice address
500 MARINERS PLAZA DR STE 504, MANDEVILLE, LA 70448-6852
(985) 246-1250
(985) 246-1251
Mailing address
500 MARINERS PLAZA DR STE 504, MANDEVILLE, LA 70448-6852
(985) 246-1250
(985) 246-1251
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.010946
LA
Other
Enumeration date
06/06/2013
Last updated
04/30/2014
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