| Northshore Behavior Innovations, Llc | |
|
1616 Destin St Mandeville LA 70448-3921 | |
| (225) 718-4629 | |
| Not Available |
| Full Name | Northshore Behavior Innovations, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1616 Destin St, Mandeville, Louisiana |
| Authorized Official Name and Position | Gina N. Strate (OWNER) |
| Authorized Official Contact | 2257184629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Behavior Innovations, Llc 1616 Destin St Mandeville LA 70448-3921 Ph: (225) 718-4629 | Northshore Behavior Innovations, Llc 1616 Destin St Mandeville LA 70448-3921 Ph: (225) 718-4629 |
| NPI Number | 1154878817 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154878817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L-139 (Louisiana) | Primary |
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