| Grief Recovery Center | |
|
4939 Jamestown Ave Suite 101 Baton Rouge LA 70808-3229 | |
| (225) 924-6621 | |
| (225) 924-6627 |
| Full Name | Grief Recovery Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4939 Jamestown Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kathy Vilas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2259246621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grief Recovery Center 4939 Jamestown Ave Suite 101 Baton Rouge LA 70808-3229 Ph: (225) 924-6621 | Grief Recovery Center 4939 Jamestown Ave Suite 101 Baton Rouge LA 70808-3229 Ph: (225) 924-6621 |
| NPI Number | 1518379833 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518379833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1933 (Louisiana) | Primary |
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