| Buabeng Family Llc | |
|
7423 Picardy Ave Ste D Baton Rouge LA 70808-4362 | |
| (225) 228-2564 | |
| Not Available |
| Full Name | Buabeng Family Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7423 Picardy Ave Ste D, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kwame Baubeng (OWNER) |
| Authorized Official Contact | 7573733551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buabeng Family Llc 7423 Picardy Ave Ste D Baton Rouge LA 70808-4362 Ph: (225) 228-2564 | Buabeng Family Llc 7423 Picardy Ave Ste D Baton Rouge LA 70808-4362 Ph: (225) 228-2564 |
| NPI Number | 1053081588 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Medicare PECOS PAC ID | 9739587908 |
|---|---|
| Medicare Enrollment ID | O20211004000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053081588 | NPI | - | NPPES |
| 305542 | Other | LA | MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kwame Buabeng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316387673 PECOS PAC ID: 8628486636 Enrollment ID: I20211004000496 |
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