| Foundations Mental Wellness Center, Llc | |
|
9810 Lake Forest Blvd Ste 101 New Orleans LA 70127-5426 | |
| (504) 292-6055 | |
| Not Available |
| Full Name | Foundations Mental Wellness Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9810 Lake Forest Blvd Ste 101, New Orleans, Louisiana |
| Authorized Official Name and Position | Chantel F Watson (MANAGER) |
| Authorized Official Contact | 5042926055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Mental Wellness Center, Llc 7630 Arbor Dr New Orleans LA 70126-3002 Ph: (504) 292-6055 | Foundations Mental Wellness Center, Llc 9810 Lake Forest Blvd Ste 101 New Orleans LA 70127-5426 Ph: (504) 292-6055 |
| NPI Number | 1245077478 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Medicare PECOS PAC ID | 3274060652 |
|---|---|
| Medicare Enrollment ID | O20241224000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245077478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Chantel F Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255175857 PECOS PAC ID: 4183151566 Enrollment ID: I20241224001047 |
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