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NPI Code Detail

MEDICARE: ACCESS HEALTH LOUISIANA

MEDICARE: ACCESS HEALTH LOUISIANA
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
1101Y00000XCounselorLA
2103T00000XPsychologistLA
31041C0700XClinical Social WorkerLA
4207Q00000XFamily Medicine PhysicianLA
5208000000XPediatrics PhysicianLA
6261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487898946
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS HEALTH LOUISIANA
Provider Business Mailing Address
First Line : 2900 INDIANA AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-4605
Country : US
Telephone Number : 504-575-3712
Fax Number : 504-575-3691
Provider Business Practice Location Address
First Line : 501 ROBERT BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-1667
Country : US
Telephone Number : 985-607-0400
Fax Number : 504-575-3691
Authorized Official
Title or Position : PRESIDENT
Name : MARK KEISER
Credential :
Telephone Number : 504-575-3700
Provider Enumeration Date : 04/28/2009
Last Update Date : 08/05/2016

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70458-1667
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1982080073 — MRS. MARCY BURRELL LMHC
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1164014981 — TRAN NGUYEN PHAM FNP-C
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501 ROBERT BLVD
SLIDELL, LA
70458-1667
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1164164661 — MIRTZA MARTINEZ SMALL FNP-C
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1811614761 — KIMBERLY PEART-BYRD LCSW
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Directions to “ACCESS HEALTH LOUISIANA ” Practice Location

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