| Collaborative Minds, Llc | |
|
7902 Wrenwood Blvd Suite A. Baton Rouge LA 70809-1794 | |
| (225) 456-2884 | |
| (225) 456-2892 |
| Full Name | Collaborative Minds, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7902 Wrenwood Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Larry W. Warner (MEMBER) |
| Authorized Official Contact | 5044002477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Minds, Llc 10517 Kentshire Ct Baton Rouge LA 70810-2853 Ph: (225) 456-2884 | Collaborative Minds, Llc 7902 Wrenwood Blvd Suite A. Baton Rouge LA 70809-1794 Ph: (225) 456-2884 |
| NPI Number | 1073863189 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 10/07/2019 |
| Medicare PECOS PAC ID | 0941452650 |
|---|---|
| Medicare Enrollment ID | O20191008000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073863189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Larry W Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851552806 PECOS PAC ID: 6406981554 Enrollment ID: I20100316000035 |
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