Beacon Behavioral Health Northshore Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Mandeville, LA
NPI 1215929211 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1215929211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BEACON BEHAVIORAL HEALTH NORTHSHORE INC
- Practice address
- 820 Asbury Dr
Mandeville, LA 70471 - Phone
- (985) 727-6090
- Fax
- (985) 727-6096
- NPI assigned
- Aug 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Earl J Wilde III
- Title
- Chairman of the Board
- Phone
- (225) 810-4040
Practitioners 4
-
Faye R Hilbert, LCSW
-
Therese Marie Trapolin, LCSW
-
Richard F. Kutner, M.D.
-
Gregory M Paul, MD
National Provider Directory
Locations
1937 Veterans Memorial Blvd
Metairie, LA 70005
Phone (504) 581-4333
1428 Gause Blvd
Ste 106
Slidell, LA 70458
Phone (985) 641-0505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
820 Asbury Dr
Mandeville, LA 70471
Mailing address
9938 Airline Hwy
Suite 200
Baton Rouge, LA 70816-8100
Phone (225) 810-4040
Other names
- Crescent Community Care Inc
Other providers in Mandeville, LA
- William Samuel Batson
- Gilbert Battiste
- Bayou River Health Systems
- Kalyn Suzanne Bazell
- Tina Bazile
- Amy Celino Beam
- William Shaun Beaudreau
- Barbara Fonte Beckham
- Tatiana Sofia Begault
- Jenna Jo Behlar
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 Aug 22, 2020. 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.