Provider Demographics
NPI:1356705511
Name:BEAU, SCHERAINE
Entity type:Individual
Prefix:MS
First Name:SCHERAINE
Middle Name:
Last Name:BEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 N HULLEN ST
Mailing Address - Street 2:STE 134
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5940
Mailing Address - Country:US
Mailing Address - Phone:504-446-3982
Mailing Address - Fax:504-446-3982
Practice Address - Street 1:2601 N HULLEN ST
Practice Address - Street 2:STE 134
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5940
Practice Address - Country:US
Practice Address - Phone:504-446-3982
Practice Address - Fax:844-841-9353
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health