Organization
LIFENET BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI TAYLOR NP (OWNER)
(985) 246-2600
Entity
Organization
Contact information
Practice address
4050 LONESOME RD STE A, MANDEVILLE, LA 70448
(985) 246-2600
(985) 246-2601
Mailing address
4050 LONESOME RD STE A, MANDEVILLE, LA 70448-7085
(985) 246-2600
(985) 246-2601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
020750
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793221
—
LA
05
—
1966746
—
LA
Enumeration date
01/15/2009
Last updated
07/27/2010
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