| Jmj Psychological Services, Llc | |
|
412 N 4th St Ste 100 Baton Rouge LA 70802-5523 | |
| (225) 719-1988 | |
| (888) 719-5854 |
| Full Name | Jmj Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 412 N 4th St Ste 100, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Maxine Elizabeth Campbell (OWNER) |
| Authorized Official Contact | 2257191988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmj Psychological Services, Llc 7725 Hanks Dr Baton Rouge LA 70812-4004 Ph: (225) 719-1988 | Jmj Psychological Services, Llc 412 N 4th St Ste 100 Baton Rouge LA 70802-5523 Ph: (225) 719-1988 |
| NPI Number | 1245507821 |
|---|---|
| Provider Enumeration Date | 11/26/2011 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 9638307507 |
|---|---|
| Medicare Enrollment ID | O20140123000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245507821 | NPI | - | NPPES |
| 1563439 | Medicaid | LA |
| Provider Name | Maxine Elizabeth Campbell Flint |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093860371 PECOS PAC ID: 2365407798 Enrollment ID: I20041129000003 |
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