| Chosen Behavioral Health, Llc | |
|
2285 North St Baton Rouge LA 70802-3154 | |
| (225) 218-5647 | |
| (225) 529-3821 |
| Full Name | Chosen Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2285 North St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Tiffany Upshaw (ADMINISTRATOR) |
| Authorized Official Contact | 8163492175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chosen Behavioral Health, Llc 2285 North St Baton Rouge LA 70802-3154 Ph: (225) 218-5647 | Chosen Behavioral Health, Llc 2285 North St Baton Rouge LA 70802-3154 Ph: (225) 218-5647 |
| NPI Number | 1831963099 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 0547613382 |
|---|---|
| Medicare Enrollment ID | O20240129003180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831963099 | NPI | - | NPPES |
| Provider Name | Karen M George |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932498284 PECOS PAC ID: 9234445693 Enrollment ID: I20150831001077 |
| Provider Name | Cassandra B Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326417486 PECOS PAC ID: 2769827963 Enrollment ID: I20240227004470 |
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