Healthcare Provider Details

I. General information

NPI: 1245134790
Provider Name (Legal Business Name): POPPY MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 JOOR RD
BATON ROUGE LA
70811-6502
US

IV. Provider business mailing address

6810 JOOR RD
BATON ROUGE LA
70811-6502
US

V. Phone/Fax

Practice location:
  • Phone: 225-240-8202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRISTAN STEWART
Title or Position: OWNER
Credential:
Phone: 225-240-8202