| Salcedo Behavioral Health & Consultation Services Llc | |
|
1581 Carol Sue Ave Ste 202 Gretna LA 70056-5100 | |
| (985) 231-8022 | |
| Not Available |
| Full Name | Salcedo Behavioral Health & Consultation Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1581 Carol Sue Ave Ste 202, Gretna, Louisiana |
| Authorized Official Name and Position | Jacob Salcedo (OWNER / MENTAL HEALTH PROFESSIONA) |
| Authorized Official Contact | 9852318022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salcedo Behavioral Health & Consultation Services Llc 1581 Carol Sue Ave Ste 202 Gretna LA 70056-5100 Ph: (985) 231-8022 | Salcedo Behavioral Health & Consultation Services Llc 1581 Carol Sue Ave Ste 202 Gretna LA 70056-5100 Ph: (985) 231-8022 |
| NPI Number | 1003680901 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 7416396122 |
|---|---|
| Medicare Enrollment ID | O20240415001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003680901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jacob Salcedo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972044592 PECOS PAC ID: 0446699151 Enrollment ID: I20240415001361 |
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