| Hearthstone Clinic | |
|
13005 Justice Ave Baton Rouge LA 70816-5330 | |
| (318) 355-7066 | |
| Not Available |
| Full Name | Hearthstone Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13005 Justice Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Austin Matthews (OWNER) |
| Authorized Official Contact | 2255000222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearthstone Clinic Po Box 1046 Baton Rouge LA 70821-1046 Ph: () - | Hearthstone Clinic 13005 Justice Ave Baton Rouge LA 70816-5330 Ph: (318) 355-7066 |
| NPI Number | 1003589235 |
|---|---|
| Provider Enumeration Date | 07/24/2021 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003589235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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