Healthcare Provider Details

I. General information

NPI: 1417368614
Provider Name (Legal Business Name): CARE MANAGEMENT SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2014
Last Update Date: 05/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 N 8TH ST
BATON ROUGE LA
70802-5519
US

IV. Provider business mailing address

726 N BELLE CIR
BREAUX BRIDGE LA
70517-4629
US

V. Phone/Fax

Practice location:
  • Phone: 337-781-5082
  • Fax: 337-781-5082
Mailing address:
  • Phone: 337-781-5082
  • Fax: 337-507-3734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA ANN ST. JULIEN
Title or Position: CEO
Credential: RN
Phone: 337-781-5082