NPI 1043692437

Northlake Medical Psychology and Counseling

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Mandeville, LA

Practice location

Address: 215 Saint Ann Dr STE 2, Mandeville, LA 70471-3394
Phone: (601) 946-1844

Authorised official

Name: John a Teal
Title: Medical Psychologist
Phone: (601) 946-1844

Registered specialties (3)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence MP.000036 (LA)

Other Clinic/Center providers in Louisiana →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence LPC #3492 (LA)

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence MP.0020 (LA)

Registry record

NPI: 1043692437
Entity type: Organization
NPI issued: 23 Jun 2015
Record last updated: 29 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.