Healthcare Provider Details

I. General information

NPI: 1730697277
Provider Name (Legal Business Name): HEALTHY MIND FOREVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 W JUDGE PEREZ DR STE 3500
CHALMETTE LA
70043-1742
US

IV. Provider business mailing address

8050 W JUDGE PEREZ DR STE 3500
CHALMETTE LA
70043-1742
US

V. Phone/Fax

Practice location:
  • Phone: 504-322-7088
  • Fax: 504-208-3270
Mailing address:
  • Phone: 504-322-7088
  • Fax: 504-208-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberMD.204388
License Number StateLA

VIII. Authorized Official

Name: JOSEPHINE SABHARWAL
Title or Position: MD
Credential:
Phone: 504-322-7088