Healthcare Provider Details

I. General information

NPI: 1942182373
Provider Name (Legal Business Name): ROYAL FAMILY SUPPORT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13653 BELLACOSA AVE
BATON ROUGE LA
70817-4037
US

IV. Provider business mailing address

PO BOX 525
SAINT GABRIEL LA
70776-0525
US

V. Phone/Fax

Practice location:
  • Phone: 318-518-1505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: QUEEN NYANGANSO
Title or Position: OWNER/ FOUNDER
Credential:
Phone: 225-255-3302