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NPI Code Detail

MEDICARE: LEI BEHAVIORAL SERVICES LLC

MEDICARE: LEI BEHAVIORAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3103K00000XBehavior Analyst
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5251S00000XCommunity/Behavioral Health AgencyLA

General Provider Information

NPI Number : 1770911109
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEI BEHAVIORAL SERVICES LLC
Provider Business Mailing Address
First Line : 4300 S I 10 SERVICE RD W STE 215
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7436
Country : US
Telephone Number : 504-301-9990
Fax Number : 504-265-9370
Provider Business Practice Location Address
First Line : 4300 S I 10 SERVICE RD W STE 215
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7436
Country : US
Telephone Number : 504-301-9990
Fax Number : 504-265-9370
Authorized Official
Title or Position : OWNER
Name : LUCKY IHENYEN
Credential :
Telephone Number : 919-491-5382
Provider Enumeration Date : 10/22/2013
Last Update Date : 09/18/2025

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Directions to “LEI BEHAVIORAL SERVICES LLC ” Practice Location

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