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NPI Code Detail

MEDICARE: FAMILY SERVICE OF GREATER BATON ROUGE

MEDICARE: FAMILY SERVICE OF GREATER BATON ROUGE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1891878435
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE OF GREATER BATON ROUGE
Provider Business Mailing Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-924-0123
Fax Number : 225-924-5455
Provider Business Practice Location Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-924-0123
Fax Number : 225-924-5455
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ALLEN SCHULDT
Credential : LCSW
Telephone Number : 225-927-9810
Provider Enumeration Date : 10/24/2006
Last Update Date : 08/22/2020

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Directions to “FAMILY SERVICE OF GREATER BATON ROUGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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