Provider Demographics
NPI:1992039127
Name:BONNABEL SBHC
Entity Type:Organization
Organization Name:BONNABEL SBHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHOUEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-737-5523
Mailing Address - Street 1:8101 SIMON ST.
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003
Mailing Address - Country:US
Mailing Address - Phone:504-737-5523
Mailing Address - Fax:504-737-2649
Practice Address - Street 1:2801 BRUIN DR.
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065
Practice Address - Country:US
Practice Address - Phone:504-303-6676
Practice Address - Fax:504-303-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization