MEDICARE: SOUTHERN LIFE CARE LLC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1073443602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN LIFE CARE LLC

Provider Business Mailing Address
First Line	:	9618 JEFFERSON HWY # 194
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-9636
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11843 BRICKSOME AVE STE B
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-5310
Country	:	US
Telephone Number	:	225-280-9626
Fax Number	:

Authorized Official
Title or Position	:	SPEECH PATHOLOGIST/OWNER
Name	:	RASHEDA MOSBY
Credential	:	M.S.,CCC-SLP
Telephone Number	:	225-280-9625

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “SOUTHERN LIFE CARE LLC ” Practice Location

Language	Start Address	Practice Location

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