Healthcare Provider Details
I. General information
NPI: 1760327704
Provider Name (Legal Business Name): BATON ROUGE PERINATAL MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
524 CONCORDIA ST
BATON ROUGE LA
70806-6012
US
IV. Provider business mailing address
524 CONCORDIA ST
BATON ROUGE LA
70806-6012
US
V. Phone/Fax
- Phone: 225-217-4520
- Fax: 225-465-5437
- Phone: 225-217-4520
- Fax: 225-465-5437
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:
TRACY
MAUREEN
DEMPSEY
Title or Position: OWNER
Credential: APN
Phone: 404-429-6218