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8714 Jefferson Hwy Ste A Baton Rouge LA 70809-2002 | |
| (225) 771-9980 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8714 Jefferson Hwy Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Tanya Stuart (OWNER) |
| Authorized Official Contact | 2257719980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10755 Linkwood Ct Baton Rouge LA 70810-2901 Ph: (225) 771-9980 | 8714 Jefferson Hwy Ste A Baton Rouge LA 70809-2002 Ph: (225) 771-9980 |
| NPI Number | 1588345201 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 4587027834 |
|---|---|
| Medicare Enrollment ID | O20240412004337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588345201 | NPI | - | NPPES |
| Provider Name | Robert Dahmes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992767537 PECOS PAC ID: 9133396559 Enrollment ID: I20120125000339 |
| Provider Name | Mary Jan Treadwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730183062 PECOS PAC ID: 8123086956 Enrollment ID: I20150317001138 |
| Provider Name | Leah P Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053327452 PECOS PAC ID: 1759609449 Enrollment ID: I20150408002717 |
| Provider Name | Natalie A Bliss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356872097 PECOS PAC ID: 6901299304 Enrollment ID: I20220208000497 |
| Provider Name | Jena Zanco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336864461 PECOS PAC ID: 0143687764 Enrollment ID: I20230613000623 |
| Provider Name | Kattie Staudermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558955120 PECOS PAC ID: 1759741176 Enrollment ID: I20230718000259 |
| Provider Name | Monique N Hankel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730817438 PECOS PAC ID: 9436590486 Enrollment ID: I20240508003623 |
| Provider Name | Jennifer L Kuehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265213276 PECOS PAC ID: 7618410309 Enrollment ID: I20240622000508 |
| Provider Name | Brett Busby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851940860 PECOS PAC ID: 8123561750 Enrollment ID: I20240624001521 |
| Provider Name | Shavon Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801626577 PECOS PAC ID: 8921532789 Enrollment ID: I20241115001613 |
| Provider Name | Saadi Alexander Francis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609529890 PECOS PAC ID: 4486180213 Enrollment ID: I20241204000354 |
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