| Geaux Champions, Llc. | |
|
325 Woodpecker St Baton Rouge LA 70807-3452 | |
| (225) 939-4816 | |
| Not Available |
| Full Name | Geaux Champions, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 325 Woodpecker St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Maisa Eulana Shelmire (OWNER) |
| Authorized Official Contact | 2259394816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geaux Champions, Llc. 325 Woodpecker St Baton Rouge LA 70807-3452 Ph: () - | Geaux Champions, Llc. 325 Woodpecker St Baton Rouge LA 70807-3452 Ph: (225) 939-4816 |
| NPI Number | 1154706505 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154706505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8828 (Louisiana) | Primary |
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