| Beacon Behavioral Health-baton Rouge Inc | |
|
422 Colonial Dr Baton Rouge LA 70806-6505 | |
| (225) 924-5655 | |
| (225) 924-5330 |
| Full Name | Beacon Behavioral Health-baton Rouge Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 422 Colonial Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Earl J Wilde (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 2258104040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Health-baton Rouge Inc 9938 Airline Hwy Suite 200 Baton Rouge LA 70816-8100 Ph: (225) 810-4040 | Beacon Behavioral Health-baton Rouge Inc 422 Colonial Dr Baton Rouge LA 70806-6505 Ph: (225) 924-5655 |
| NPI Number | 1699767699 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699767699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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