Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Louisiana State Hospital

Organization Psychiatry Physician · NPI 1518129907

Southeast Louisiana State Hospital is a Psychiatry Physician in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008

Practice location Address checks out

23515 Hwy 190 Southeast Louisiana State Hospital
Mandeville, LA 70448
Phone: (985) 626-6300
Fax: (985) 626-6557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 214 (LA)

Record details

NPI number1518129907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Gonzales — Ceo · (915) 626-6300
NPI enumeratedJune 27, 2008
Last updated in NPPESJune 27, 2008
Mailing addressPo Box 3850, Southeast Louisiana State Hospital, Mandeville, LA 70470-3850

Other providers in Mandeville