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NPI Code Detail

MEDICARE: BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS LLC

MEDICARE: BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2276400000XSubstance Use Disorder Rehabilitation Hospital Unit
3283Q00000XPsychiatric Hospital692LA

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 : 1760437131
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS LLC
Provider Business Mailing Address
First Line : 14707 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-2216
Country : US
Telephone Number : 225-810-4040
Fax Number : 225-810-4050
Provider Business Practice Location Address
First Line : 14500 HAYNE BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70128-1751
Country : US
Telephone Number : 504-210-0460
Fax Number : 504-210-0970
Authorized Official
Title or Position : CEO
Name : PHILLIP SEAN WENDELL
Credential :
Telephone Number : 225-810-4040
Provider Enumeration Date : 05/24/2006
Last Update Date : 11/13/2023

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Directions to “BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS LLC ” Practice Location

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