| Baton Rouge Therapie, Llc | |
|
7732 Goodwood Blvd Ste 102 Baton Rouge LA 70806-7680 | |
| (504) 517-6390 | |
| Not Available |
| Full Name | Baton Rouge Therapie, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7732 Goodwood Blvd Ste 102, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Richard Warren Jackson (OWNER/SOCIAL WORKER) |
| Authorized Official Contact | 5045176390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baton Rouge Therapie, Llc 7732 Goodwood Blvd Ste 102 Baton Rouge LA 70806-7680 Ph: (504) 517-6390 | Baton Rouge Therapie, Llc 7732 Goodwood Blvd Ste 102 Baton Rouge LA 70806-7680 Ph: (504) 517-6390 |
| NPI Number | 1255033460 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255033460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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