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NPI Code Detail

MEDICARE: CHOICES BEHAVIORAL MENTAL HEALTH AND WELLNESS , LLC

MEDICARE: CHOICES BEHAVIORAL MENTAL HEALTH AND WELLNESS , 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1205226404
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOICES BEHAVIORAL MENTAL HEALTH AND WELLNESS , LLC
Provider Business Mailing Address
First Line : 4120 EVE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-1934
Country : US
Telephone Number : 844-239-3737
Fax Number :
Provider Business Practice Location Address
First Line : 4120 EVE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-1934
Country : US
Telephone Number : 844-239-3737
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. MICHAEL ROBERT TUCKER
Credential :
Telephone Number : 504-539-2481
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/27/2015

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Directions to “CHOICES BEHAVIORAL MENTAL HEALTH AND WELLNESS , LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.