MEDICARE: NEURO CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1770435695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO CENTER LLC

Provider Business Mailing Address
First Line	:	101 WILHITE ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-7363
Country	:	US
Telephone Number	:	318-582-5117
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 WILHITE ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-7363
Country	:	US
Telephone Number	:	318-582-5117
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JACQUELINE CARTER
Credential	:	MD
Telephone Number	:	414-336-5277

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “NEURO CENTER LLC ” Practice Location

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