Lakeside Behavioral Health, Llc

LBN: Lakeside Behavioral Health, Llc
Lakeside Behavioral Health, Llc is an health care organization with primary practice located at 4121 Union Rd Suite 201, Saint Louis MO 63129-1070. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Lakeside Behavioral Health, Llc can be contacted via phone (314) 930-3520, or through Yanamadala, Ashok via phone (314) 930-3520.

Contact Information

Primary practice address
4121 Union Rd Suite 201 Saint Louis MO 63129-1070
Phone: (314) 930-3520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yanamadala, Ashok Doctor of Medicine (MD)
Phone: (314) 930-3520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1093269003
LBN Legal business name Lakeside Behavioral Health, Llc
DBA Doing business as
Authorized official Yanamadala, Ashok Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2016
Last updated Aug 19th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093269003 NPPES
Missouri Other MA6412 MEDICARE PTAN
Missouri MEDICAID 1093269003 MEDICARE PTAN

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