| Innercore Management Group | |
|
637 Saint Ferdinand St Baton Rouge LA 70802-6152 | |
| (225) 955-9527 | |
| (225) 240-1089 |
| Full Name | Innercore Management Group |
|---|---|
| Speciality | Social Worker |
| Location | 637 Saint Ferdinand St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kendrick M. Ebanks (OWNER) |
| Authorized Official Contact | 2259559527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innercore Management Group 637 Saint Ferdinand St Baton Rouge LA 70802-6152 Ph: (225) 627-3470 | Innercore Management Group 637 Saint Ferdinand St Baton Rouge LA 70802-6152 Ph: (225) 955-9527 |
| NPI Number | 1972046522 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Medicare PECOS PAC ID | 1052681178 |
|---|---|
| Medicare Enrollment ID | O20170724000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972046522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin J Tripeaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396887899 PECOS PAC ID: 7719907286 Enrollment ID: I20051129000511 |
| Provider Name | Carmen Elizabeth Spooner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427403229 PECOS PAC ID: 8729362744 Enrollment ID: I20170310000746 |
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 |