| Ma Counseling | |
|
9513 Sagefield Dr Baton Rouge LA 70818-5016 | |
| (231) 740-7882 | |
| Not Available |
| Full Name | Ma Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 9513 Sagefield Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Mitze Alexander (OWNER) |
| Authorized Official Contact | 2254657049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ma Counseling 9513 Sagefield Dr Baton Rouge LA 70818-5016 Ph: (231) 740-7882 | Ma Counseling 9513 Sagefield Dr Baton Rouge LA 70818-5016 Ph: (231) 740-7882 |
| NPI Number | 1255032173 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 05/30/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 1153788229 |
|---|---|
| Medicare Enrollment ID | O20230605002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255032173 | NPI | - | NPPES |
| 1740522531 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mitze Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740522531 PECOS PAC ID: 6002040094 Enrollment ID: I20230606001891 |
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