MEDICARE: FRONTLINE WARRIOR PROJECT L3C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1013614361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTLINE WARRIOR PROJECT L3C

Provider Business Mailing Address
First Line	:	8591 OLIVER AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-1730
Country	:	US
Telephone Number	:	225-907-9692
Fax Number	:

Provider Business Practice Location Address
First Line	:	22810 ATCHAFALAYA DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-6976
Country	:	US
Telephone Number	:	225-485-6673
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JASON ALEXANDER HARRIS
Credential	:	THB
Telephone Number	:	225-907-9692

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	02/07/2023

Similar Medicare Providers

1821763376 — MS. LANELL DARNELL STEWART PSY.D
Practice Location Address:

22810 ATCHAFALAYA DR
DENHAM SPRINGS, LA
70726-6976

Practice Phone: 225-964-2696
Practice Fax:

1760460794 — DR. MARSHALL TOBEY HAYES D.O.
Practice Location Address:

5350 TOMAH DR STE 3500
COLORADO SPRINGS, CO
80918-6976

Practice Phone: 719-574-6562
Practice Fax: 719-475-7171

1730288713 — MARTA ANN MCKAY LPC / CAC III
Practice Location Address:

5350 TOMAH DR., , ST. 3500
COLORADO SPRINGS, CO
80918-6976

Practice Phone: 719-574-6562
Practice Fax: 719-475-7171

1487045803 — DR. JEFFREY WENTZ MD
Practice Location Address:

5350 TOMAH DR STE 3500
COLORADO SPRINGS, CO
80918-6976

Practice Phone: 719-574-6562
Practice Fax: 719-475-7171

1700432804 — DANIELE JEAN OPTOMETRY PA
Practice Location Address:

6976 CORAL RIDGE DR
CORAL SPRINGS, FL
33076-3302

Practice Phone: 954-227-2770
Practice Fax:

1225913312 — ZENITH PSYCHIATRY & AEROMEDICAL CONSULTING, LLC
Practice Location Address:

5350 TOMAH DR STE 3500
COLORADO SPRINGS, CO
80918-6976

Practice Phone: 719-574-6562
Practice Fax: 719-475-7171

Directions to “FRONTLINE WARRIOR PROJECT L3C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.