| Release To Restore Behavioral Health Services | |
|
12090 S Harrells Ferry Rd Ste D2 Baton Rouge LA 70816-2470 | |
| (225) 317-9383 | |
| Not Available |
| Full Name | Release To Restore Behavioral Health Services |
|---|---|
| Speciality | Counselor |
| Location | 12090 S Harrells Ferry Rd Ste D2, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Shawanda Benton (ADMINISTRATOR) |
| Authorized Official Contact | 2253179383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Release To Restore Behavioral Health Services 12090 S Harrells Ferry Rd Ste D2 Baton Rouge LA 70816-2470 Ph: () - | Release To Restore Behavioral Health Services 12090 S Harrells Ferry Rd Ste D2 Baton Rouge LA 70816-2470 Ph: (225) 317-9383 |
| NPI Number | 1508345505 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508345505 | NPI | - | NPPES |
| 471603617 | Other | LA | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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