| Total Life Cares Health Center | |
|
4451 Bluebonnet Blvd Ste D Baton Rouge LA 70809-9647 | |
| (225) 590-3313 | |
| (225) 590-3324 |
| Full Name | Total Life Cares Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4451 Bluebonnet Blvd Ste D, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Shaynna Gilbert (CHIEF EXECUTIVE OFFICER (CEO)) |
| Authorized Official Contact | 2255903313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Cares Health Center 4451 Bluebonnet Blvd Ste D Baton Rouge LA 70809-9647 Ph: (225) 590-3313 | Total Life Cares Health Center 4451 Bluebonnet Blvd Ste D Baton Rouge LA 70809-9647 Ph: (225) 590-3313 |
| NPI Number | 1376158154 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Medicare PECOS PAC ID | 0749674455 |
|---|---|
| Medicare Enrollment ID | O20220223000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376158154 | NPI | - | NPPES |
| Provider Name | Chandra M Katta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831131499 PECOS PAC ID: 2567460017 Enrollment ID: I20061117000352 |
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