Healthcare Provider Details

I. General information

NPI: 1467235044
Provider Name (Legal Business Name): MERCYS HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7865 JEFFERSON HWY STE D
BATON ROUGE LA
70809-1384
US

IV. Provider business mailing address

7865 JEFFERSON HWY STE D
BATON ROUGE LA
70809-1384
US

V. Phone/Fax

Practice location:
  • Phone: 601-529-0888
  • Fax:
Mailing address:
  • Phone: 225-529-2207
  • Fax: 225-529-2264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELIA TEAGUE-PRIDDY
Title or Position: OWNER
Credential: PMHNP
Phone: 225-529-2207