| Emerging Oasis Agents Of Change | |
|
11822 Justice Ave Baton Rouge LA 70816-2306 | |
| (225) 963-8092 | |
| Not Available |
| Full Name | Emerging Oasis Agents Of Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11822 Justice Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Sharon Leray (OWNER) |
| Authorized Official Contact | 2259638092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerging Oasis Agents Of Change 11822 Justice Ave Ste B5 Baton Rouge LA 70816-2306 Ph: (225) 963-8092 | Emerging Oasis Agents Of Change 11822 Justice Ave Baton Rouge LA 70816-2306 Ph: (225) 963-8092 |
| NPI Number | 1689332249 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689332249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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