Organization Name: | LURLINE SMITH MENTAL HEALTH CENTER |
NPI Number: | 1003171026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRA LADNER (MENTAL HEALTH REGIONAL DIRECTOR) |
Mailing Address: | 900 Wilkinson St Mandeville |
State: | LA US |
Postal Code: | 704483533 |
Phone Number: | 9856244450 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 2083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |