Healthcare Provider Details

I. General information

NPI: 1972433571
Provider Name (Legal Business Name): CEREBRAL MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 AIRLINE HWY STE 227
BATON ROUGE LA
70816-8195
US

IV. Provider business mailing address

9800 AIRLINE HWY STE 227
BATON ROUGE LA
70816-8195
US

V. Phone/Fax

Practice location:
  • Phone: 225-366-0087
  • Fax: 225-366-0087
Mailing address:
  • Phone: 225-366-0087
  • Fax: 225-366-0087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GWENDONEAN S HORNBEAK
Title or Position: PMHNP/SOLE OWNER
Credential: APRN-CNP
Phone: 253-753-0026