Provider Demographics
NPI:1376185702
Name:IBH HOLDING LLC
Entity Type:Organization
Organization Name:IBH HOLDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-322-3837
Mailing Address - Street 1:400 POYDRAS ST STE 1950
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3341
Mailing Address - Country:US
Mailing Address - Phone:504-322-3837
Mailing Address - Fax:504-322-3847
Practice Address - Street 1:400 POYDRAS ST STE 1950
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3341
Practice Address - Country:US
Practice Address - Phone:504-322-3837
Practice Address - Fax:504-322-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1619310257OtherPSYCHIATRY
LA1932309325OtherPSYCHIATRY
LA1780882118OtherPSYCHIATRY
LA1922443381OtherPSYCHIATRY
LA1487911392OtherPSYCHIATRY