| Mayo Behavioral Health Services | |
|
7612 Picardy Ave Ste H Baton Rouge LA 70808-4353 | |
| (225) 256-0110 | |
| (225) 256-4210 |
| Full Name | Mayo Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 7612 Picardy Ave Ste H, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Brittney Bell Mayo (CEO) |
| Authorized Official Contact | 2252508717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Behavioral Health Services Po Box 456 Zachary LA 70791-0456 Ph: (225) 250-8717 | Mayo Behavioral Health Services 7612 Picardy Ave Ste H Baton Rouge LA 70808-4353 Ph: (225) 256-0110 |
| NPI Number | 1043916513 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Medicare PECOS PAC ID | 0840724597 |
|---|---|
| Medicare Enrollment ID | O20241118000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043916513 | NPI | - | NPPES |
| 2203785623 | Other | LA | DEPARTMENT OF HEALTH BEHAVIORAL HEALTH SERVICE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
| Provider Name | Arteikia Harrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851764062 PECOS PAC ID: 9335673094 Enrollment ID: I20241118001489 |
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