| Ibmh, LLC | |
|
1385 S Ridge Dr Mandeville LA 70448-1022 | |
| (888) 214-4264 | |
| Not Available |
| Full Name | Ibmh, LLC |
|---|---|
| Speciality | Counselor |
| Location | 1385 S Ridge Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Tatiana Sofia Begault (PROGRAM COORDINATOR) |
| Authorized Official Contact | 5042757489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibmh, LLC 1385 S Ridge Dr Mandeville LA 70448-1022 Ph: (888) 214-4264 | Ibmh, LLC 1385 S Ridge Dr Mandeville LA 70448-1022 Ph: (888) 214-4264 |
| NPI Number | 1801257795 |
|---|---|
| Provider Enumeration Date | 03/19/2016 |
| Last Update Date | 03/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801257795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 101Y00000X | Counselor | (Louisiana) | Primary |
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