Grief Recovery Center | |
4919 Jamestown Ave Ste 101 Baton Rouge LA 70808-3228 | |
(225) 924-6621 | |
(225) 924-6627 |
Full Name | Grief Recovery Center |
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Speciality | Counselor - Mental Health |
Location | 4919 Jamestown Ave Ste 101, 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 |
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Grief Recovery Center 4919 Jamestown Ave Ste 101 Baton Rouge LA 70808-3228 Ph: (225) 924-6621 | Grief Recovery Center 4919 Jamestown Ave Ste 101 Baton Rouge LA 70808-3228 Ph: (225) 924-6621 |
NPI Number | 1972778512 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 04/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972778512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3453 (Louisiana) | Primary |
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