| Vital Transitions Behavioral Healthcare Inc. | |
|
11745 Haymarket Ave Baton Rouge LA 70816-6010 | |
| (225) 412-7912 | |
| Not Available |
| Full Name | Vital Transitions Behavioral Healthcare Inc. |
|---|---|
| Speciality | Counselor |
| Location | 11745 Haymarket Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Antwanette Collins (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2254127912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Transitions Behavioral Healthcare Inc. 11745 Haymarket Ave Baton Rouge LA 70816-6010 Ph: (225) 412-7912 | Vital Transitions Behavioral Healthcare Inc. 11745 Haymarket Ave Baton Rouge LA 70816-6010 Ph: (225) 412-7912 |
| NPI Number | 1528614625 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 2769819705 |
|---|---|
| Medicare Enrollment ID | O20200303002482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528614625 | NPI | - | NPPES |
| Provider Name | Peter D Cabiran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790855229 PECOS PAC ID: 6800814567 Enrollment ID: I20051110000782 |
| Provider Name | Ashlie Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508184987 PECOS PAC ID: 4880864966 Enrollment ID: I20110829000077 |
| Provider Name | Khrishandalyn Rationne Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821464546 PECOS PAC ID: 7810238763 Enrollment ID: I20190403001093 |
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