Healthcare Provider Details

I. General information

NPI: 1326561903
Provider Name (Legal Business Name): YOUTH EMPOWERMENT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 GALERIA DR STE C
BATON ROUGE LA
70816-8004
US

IV. Provider business mailing address

5425 GALERIA DR STE C
BATON ROUGE LA
70816-8004
US

V. Phone/Fax

Practice location:
  • Phone: 225-223-6153
  • Fax: 225-246-2420
Mailing address:
  • Phone: 225-223-6153
  • Fax: 225-246-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSELYN WHITLEY
Title or Position: OWNER
Credential: PLPC
Phone: 225-223-6153