| Inhale, Llc | |
|
1441 Mills Hwy Breaux Bridge LA 70517 | |
| (337) 322-2347 | |
| Not Available |
| Full Name | Inhale, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1441 Mills Hwy, Breaux Bridge, Louisiana |
| Authorized Official Name and Position | Cassie M Broussard (OWNER/NP) |
| Authorized Official Contact | 3373222347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inhale, Llc 1441 Mills Hwy Breaux Bridge LA 70517-7304 Ph: (337) 205-7630 | Inhale, Llc 1441 Mills Hwy Breaux Bridge LA 70517 Ph: (337) 322-2347 |
| NPI Number | 1821566886 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Medicare PECOS PAC ID | 0143560755 |
|---|---|
| Medicare Enrollment ID | O20190319000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821566886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cassie M Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831567387 PECOS PAC ID: 5597054254 Enrollment ID: I20180525000245 |
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