Healthcare Provider Details

I. General information

NPI: 1942849690
Provider Name (Legal Business Name): RYANN S DUNCAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RYANN HOLLIS

II. Dates (important events)

Enumeration Date: 12/29/2019
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 NORTH BLVD
BATON ROUGE LA
70806-3825
US

IV. Provider business mailing address

9516 AIRLINE HWY
BATON ROUGE LA
70815-5501
US

V. Phone/Fax

Practice location:
  • Phone: 225-655-6422
  • Fax:
Mailing address:
  • Phone: 225-655-6422
  • Fax: 225-341-5903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16446
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: