Provider Demographics
NPI:1164965711
Name:S & H MENTAL HEALTH ASSOCIATES LLC
Entity Type:Organization
Organization Name:S & H MENTAL HEALTH ASSOCIATES LLC
Other - Org Name:CLAUDIA ORELLANA
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORELLANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-584-7137
Mailing Address - Street 1:4440 VIKING DR
Mailing Address - Street 2:STE 300
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-7511
Mailing Address - Country:US
Mailing Address - Phone:318-584-7137
Mailing Address - Fax:318-584-7140
Practice Address - Street 1:4440 VIKING DR
Practice Address - Street 2:STE 300
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-7511
Practice Address - Country:US
Practice Address - Phone:318-584-7137
Practice Address - Fax:318-584-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2025172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1079278Medicaid
LA1079278Medicaid