| Acer, Llc | |
|
115 Christian Ln Slidell LA 70458-1350 | |
| (985) 690-6622 | |
| (985) 690-6662 |
| Full Name | Acer, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Christian Ln, Slidell, Louisiana |
| Authorized Official Name and Position | Morris C. Hawkins (CEO) |
| Authorized Official Contact | 9856906622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acer, Llc 115 Christian Ln Slidell LA 70458-1350 Ph: (985) 690-6622 | Acer, Llc 115 Christian Ln Slidell LA 70458-1350 Ph: (985) 690-6622 |
| NPI Number | 1245375203 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 1153505235 |
|---|---|
| Medicare Enrollment ID | O20110414000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245375203 | NPI | - | NPPES |
| 600014795 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
| Provider Name | William V Garibaldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538530076 PECOS PAC ID: 5991136889 Enrollment ID: I20200508001578 |
| Provider Name | Gregory B Caudill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477718013 PECOS PAC ID: 1951721281 Enrollment ID: I20201026001795 |
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