| Mending The Soul Restoration Of The Mind Body And Soul | |
|
3029 S Sherwood Forest Blvd Ste 205 Baton Rouge LA 70816-2276 | |
| (225) 366-8766 | |
| (225) 208-1800 |
| Full Name | Mending The Soul Restoration Of The Mind Body And Soul |
|---|---|
| Speciality | Counselor |
| Location | 3029 S Sherwood Forest Blvd Ste 205, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Shontell Buffington (OWNER) |
| Authorized Official Contact | 2252238252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending The Soul Restoration Of The Mind Body And Soul Po Box 64594 Baton Rouge LA 70896-4594 Ph: (225) 223-8252 | Mending The Soul Restoration Of The Mind Body And Soul 3029 S Sherwood Forest Blvd Ste 205 Baton Rouge LA 70816-2276 Ph: (225) 366-8766 |
| NPI Number | 1518610674 |
|---|---|
| Provider Enumeration Date | 01/30/2022 |
| Last Update Date | 01/30/2022 |
| Certification Date | 01/29/2022 |
| Medicare PECOS PAC ID | 8325431398 |
|---|---|
| Medicare Enrollment ID | O20220216000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518610674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shontell D Buffington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417474057 PECOS PAC ID: 0345506531 Enrollment ID: I20171103000363 |
Plauche Mental Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1983 Peck Dr, Baton Rouge, LA 70810 Phone: 225-761-8816 | |
Sanabit Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 673 E Airport Ave, Baton Rouge, LA 70806 Phone: 225-300-8788 Fax: 225-308-8301 | |
Strong Family Project Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Ponderosa Dr, Baton Rouge, LA 70819 Phone: 225-803-9054 | |
Small Talk Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4521 Jamestown Ave Ste 6, Baton Rouge, LA 70808 Phone: 225-341-2853 | |
Elevation Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12613 Bristol Ave, Baton Rouge, LA 70815 Phone: 225-803-9462 | |
Hearthstone Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13005 Justice Ave, Baton Rouge, LA 70816 Phone: 318-355-7066 | |
Serenity Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 N Lobdell Ave, Baton Rouge, LA 70806 Phone: 225-925-0555 Fax: 225-925-0082 |