Healthcare Provider Details

I. General information

NPI: 1437075405
Provider Name (Legal Business Name): NEALCORE MENTAL HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6781 CEZANNE AVE STE 2
BATON ROUGE LA
70806-2103
US

IV. Provider business mailing address

PO BOX 1081
PRAIRIEVILLE LA
70769-1081
US

V. Phone/Fax

Practice location:
  • Phone: 225-205-2268
  • Fax:
Mailing address:
  • Phone: 225-205-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KAREEM ABDUL-JABBAR NEAL
Title or Position: CEO
Credential: DNP, PMHNP-BC
Phone: 225-205-2268