| Beverly's Loving Hands | |
|
11931 Justice Ave Ste B Baton Rouge LA 70816-2597 | |
| (225) 279-4693 | |
| (225) 206-5699 |
| Full Name | Beverly's Loving Hands |
|---|---|
| Speciality | Clinic/Center |
| Location | 11931 Justice Ave Ste B, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Myisha Joseph (OWNER) |
| Authorized Official Contact | 2252794693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly's Loving Hands 11931 Justice Ave Ste B Baton Rouge LA 70816-2597 Ph: (225) 279-4693 | Beverly's Loving Hands 11931 Justice Ave Ste B Baton Rouge LA 70816-2597 Ph: (225) 279-4693 |
| NPI Number | 1639809635 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Medicare PECOS PAC ID | 3072958636 |
|---|---|
| Medicare Enrollment ID | O20240305002876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639809635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Myisha Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366998015 PECOS PAC ID: 3870938442 Enrollment ID: I20240305003143 |
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