Northlake Medical Psychology and Counseling
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Mandeville, LA
NPI 1043692437 · NPPES record last updated Jul 29, 2015
Key facts
- NPI
- 1043692437
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- MP.000036 (LA)
- Legal business name
- NORTHLAKE MEDICAL PSYCHOLOGY AND COUNSELING
- Practice address
- 215 Saint Ann Dr Ste 2
Mandeville, LA 70471-3394 - Phone
- (601) 946-1844
- NPI assigned
- Jun 23, 2015
- Organization subpart
- No
Authorized official
- Name
- John A Teal, PHD, MP
- Title
- Medical Psychologist
- Phone
- (601) 946-1844
Practitioners 4
-
Linda Joan Collings, PH.D., M.P.
-
Shanda Ann Keaton, APRN, PMHNP
-
Alicia Seicshnaydre, PMHNP
-
Kristen Unkauf, PH.D.
National Provider Directory
Locations
215 Saint Ann Dr
Ste 2
Mandeville, LA 70471
Phone (601) 946-1844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | MP.000036 | LA | Yes |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LPC #3492 | LA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | MP.0020 | LA |
Addresses
Primary practice location
215 Saint Ann Dr Ste 2
Mandeville, LA 70471-3394
Mailing address
215 Saint Ann Dr Ste 2
Mandeville, LA 70471-3394
Phone (601) 946-1844
Other providers in Mandeville, LA
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- Northlake Cardiology and Wellcare Center
- Northlake Dental LLC
- Northlake Foot and Ankle Inc.
- Northlake Physical Therapy and Rehabilitation Services, Inc.
- Northlake Physicians Group
- Northshore Allergy & Immunology, LLC
- Northshore Autism Center, LLC
- Northshore Behavior Innovations, LLC
All providers in Mandeville, LA · Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.