| Beacon Behavioral Outpatient - Baton Rouge | |
|
10425 Plaza Americana Dr Baton Rouge LA 70816-8188 | |
| (225) 810-4719 | |
| (225) 810-4722 |
| Full Name | Beacon Behavioral Outpatient - Baton Rouge |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10425 Plaza Americana Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Phillip Sean Wendell (CEO) |
| Authorized Official Contact | 2258104040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Outpatient - Baton Rouge 4601 Bluebonnet Blvd Ste B Baton Rouge LA 70809-9656 Ph: (225) 810-4040 | Beacon Behavioral Outpatient - Baton Rouge 10425 Plaza Americana Dr Baton Rouge LA 70816-8188 Ph: (225) 810-4719 |
| NPI Number | 1891328787 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 12/24/2020 |
| Certification Date | 12/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891328787 | NPI | - | NPPES |
| 194102 | Other | MEDICARE | |
| 2184164 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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