| Gulf South Br - Aba, Llc | |
|
9063 Siegen Ln Ste A Baton Rouge LA 70810 | |
| (504) 780-1702 | |
| Not Available |
| Full Name | Gulf South Br - Aba, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 9063 Siegen Ln Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kevin J Bianchini (MANAGING MEMBER) |
| Authorized Official Contact | 5047801702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf South Br - Aba, Llc 2901 N I 10 Service Rd E Ste 300 Metairie LA 70002-6137 Ph: (504) 780-1702 | Gulf South Br - Aba, Llc 9063 Siegen Ln Ste A Baton Rouge LA 70810 Ph: (504) 780-1702 |
| NPI Number | 1871089763 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871089763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Plauche Mental Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1983 Peck Dr, Baton Rouge, LA 70810 Phone: 225-761-8816 | |
Sanabit Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 673 E Airport Ave, Baton Rouge, LA 70806 Phone: 225-300-8788 Fax: 225-308-8301 | |
Strong Family Project Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Ponderosa Dr, Baton Rouge, LA 70819 Phone: 225-803-9054 | |
Small Talk Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4521 Jamestown Ave Ste 6, Baton Rouge, LA 70808 Phone: 225-341-2853 | |
Elevation Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12613 Bristol Ave, Baton Rouge, LA 70815 Phone: 225-803-9462 | |
Hearthstone Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13005 Justice Ave, Baton Rouge, LA 70816 Phone: 318-355-7066 | |
Serenity Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 N Lobdell Ave, Baton Rouge, LA 70806 Phone: 225-925-0555 Fax: 225-925-0082 |