MEDICARE: CLEAR MINDS BEHAVIORAL HEALTH, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	251S00000X	Community/Behavioral Health Agency	LA
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1053869222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR MINDS BEHAVIORAL HEALTH, INC

Provider Business Mailing Address
First Line	:	11861 COURSEY BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4404
Country	:	US
Telephone Number	:	225-612-8656
Fax Number	:	225-224-6147

Provider Business Practice Location Address
First Line	:	11861 COURSEY BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4404
Country	:	US
Telephone Number	:	225-612-8656
Fax Number	:	225-224-6147

Authorized Official
Title or Position	:	CEO
Name	:	OMOBOWALE F JARROW
Credential	:
Telephone Number	:	225-612-8656

Provider Enumeration Date	:	09/16/2016
Last Update Date	:	04/02/2025

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