| Family Service Of Greater Baton Rouge | |
|
4727 Revere Ave Baton Rouge LA 70808-3168 | |
| (225) 924-0123 | |
| (225) 924-5455 |
| Full Name | Family Service Of Greater Baton Rouge |
|---|---|
| Speciality | Counselor |
| Location | 4727 Revere Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Allen Schuldt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2259279810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of Greater Baton Rouge 4727 Revere Ave Baton Rouge LA 70808-3168 Ph: (225) 924-0123 | Family Service Of Greater Baton Rouge 4727 Revere Ave Baton Rouge LA 70808-3168 Ph: (225) 924-0123 |
| NPI Number | 1891878435 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032452636 |
|---|---|
| Medicare Enrollment ID | O20190523000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891878435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Earl L Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922423334 PECOS PAC ID: 0143551606 Enrollment ID: I20191014003554 |
| Provider Name | Carolyn A Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134272818 PECOS PAC ID: 0941635866 Enrollment ID: I20200122002048 |
| Provider Name | Velda S Wiltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770763229 PECOS PAC ID: 4486076395 Enrollment ID: I20200623001971 |
| Provider Name | Kathie . Moise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992249379 PECOS PAC ID: 7012379621 Enrollment ID: I20230814004194 |
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