Provider Demographics
NPI:1821202797
Name:BECK PARTNERS, LLC
Entity Type:Organization
Organization Name:BECK PARTNERS, LLC
Other - Org Name:CYPRESS PSYCHIATRIC HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'ROURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-336-8940
Mailing Address - Street 1:4363 CONVENTION ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3906
Mailing Address - Country:US
Mailing Address - Phone:225-336-8940
Mailing Address - Fax:
Practice Address - Street 1:4363 CONVENTION ST
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3906
Practice Address - Country:US
Practice Address - Phone:225-336-8940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA528283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA194071Medicare ID - Type UnspecifiedPROVIDER NUMBER