Jasmine Travis, LPC, CMHC, LCPC | |
2320 Drusilla Lane, Suite A #1027, Baton Rouge, LA 70809-2045 | |
(225) 399-2085 | |
Not Available |
Full Name | Jasmine Travis |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2320 Drusilla Lane, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639607419 | NPI | - | NPPES |
12892457-6004 | Other | UT | LCPC |
CP5644-R | Other | NV | CMHC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Louisiana) | Secondary |
101YM0800X | Counselor - Mental Health | 7008 (Louisiana) | Primary |
101YP2500X | Counselor - Professional | 7008 (Louisiana) | Secondary |
Entity Name | Brightside Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230510001413 |
Mailing Address | Practice Location Address |
---|---|
Jasmine Travis, LPC, CMHC, LCPC Po Box 42045, Baton Rouge, LA 70835-2045 Ph: (337) 298-1326 | Jasmine Travis, LPC, CMHC, LCPC 2320 Drusilla Lane, Suite A #1027, Baton Rouge, LA 70809-2045 Ph: (225) 399-2085 |
Janet Roy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4615 Government St, Building 2, Baton Rouge, LA 70806 Phone: 225-925-1906 Fax: 225-925-1972 | |
Dr. Shalanda R Judge, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Goodwood Blvd Ste A1, Baton Rouge, LA 70806 Phone: 225-421-1921 | |
Devora Knight, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8706 Jefferson Hwy Ste A, Baton Rouge, LA 70809 Phone: 225-926-9706 Fax: 225-926-9708 | |
Alacia Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3968 North Blvd, Baton Rouge, LA 70806 Phone: 225-397-4414 | |
Jennifer Sampson Norwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Colonial Dr, Baton Rouge, LA 70806 Phone: 225-292-5151 | |
Doris Hammond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12097 Old Hammond Hwy Ste I4, Baton Rouge, LA 70816 Phone: 225-246-8816 Fax: 225-302-5506 | |
Staci Nicole Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11616 Southfork Ave, Baton Rouge, LA 70816 Phone: 225-291-9646 |