| Ethos Coordinated Care Services,llc | |
|
4142 Lassen Dr Baton Rouge LA 70814-5126 | |
| (225) 802-0289 | |
| Not Available |
| Full Name | Ethos Coordinated Care Services,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4142 Lassen Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Shirley Lewis (CEO) |
| Authorized Official Contact | 2254567098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Coordinated Care Services,llc 1821 Wooddale Ct Suite 101 Baton Rouge LA 70806-1535 Ph: (225) 802-0289 | Ethos Coordinated Care Services,llc 4142 Lassen Dr Baton Rouge LA 70814-5126 Ph: (225) 802-0289 |
| NPI Number | 1649657917 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649657917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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