NPI 1154855781

Northlake Physicians Group

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

Practice location

Address: 23699 Quail Lane, Mandeville, LA 70448-7334
Phone: (985) 334-4040
Fax: (985) 626-6549
Mailing address: 7300 N Cicero Ave Suite 211, Lincolnwood, IL 60712-1641

Authorised official

Name: Tony Shir
Title: Officer
Phone: (847) 452-4565

Registered specialties (3)

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

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Louisiana →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Registry record

NPI: 1154855781
Entity type: Organization
NPI issued: 20 Apr 2017
Record last updated: 17 Oct 2024

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.