| Journey For Change, Llc | |
|
8211 Goodwood Blvd Ste A1 Baton Rouge LA 70806-7740 | |
| (225) 400-1586 | |
| Not Available |
| Full Name | Journey For Change, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8211 Goodwood Blvd Ste A1, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Karen D Marchand (CLINICAL DIRECTOR/ OWNER) |
| Authorized Official Contact | 2254001586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey For Change, Llc Po Box 53854 Baton Rouge LA 70892-3854 Ph: (225) 400-1586 | Journey For Change, Llc 8211 Goodwood Blvd Ste A1 Baton Rouge LA 70806-7740 Ph: (225) 400-1586 |
| NPI Number | 1033850854 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Medicare PECOS PAC ID | 9638555634 |
|---|---|
| Medicare Enrollment ID | O20220928002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033850854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen D Marchand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851976948 PECOS PAC ID: 5597159939 Enrollment ID: I20220228002078 |
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