Healthcare Provider Details
I. General information
NPI: 1437075405
Provider Name (Legal Business Name): NEALCORE MENTAL HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14635 S HARRELLS FERRY RD STE 3A
BATON ROUGE LA
70816-2960
US
IV. Provider business mailing address
PO BOX 1081
PRAIRIEVILLE LA
70769-1081
US
V. Phone/Fax
- Phone: 225-205-2268
- Fax:
- Phone: 225-205-2268
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KAREEM
ABDUL-JABBAR
NEAL
Title or Position: CEO
Credential: DNP, PMHNP-BC
Phone: 225-205-2268