| Royal Legacy Empire Llc | |
|
4581 Peerless St Baton Rouge LA 70811-5430 | |
| (225) 206-4064 | |
| Not Available |
| Full Name | Royal Legacy Empire Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4581 Peerless St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jena' Carmaleta Dennis (LICENSED ADDICTION COUNSELOR) |
| Authorized Official Contact | 2252064064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Legacy Empire Llc 12500 Old Hammond Hwy Apt G2 Baton Rouge LA 70816-1091 Ph: (225) 206-4064 | Royal Legacy Empire Llc 4581 Peerless St Baton Rouge LA 70811-5430 Ph: (225) 206-4064 |
| NPI Number | 1366283988 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366283988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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