MEDICARE: MEDICAL MANAGEMENT OPTIONS, INC.

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	101YM0800X	Mental Health Counselor		LA
2	1041C0700X	Clinical Social Worker		LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235139213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL MANAGEMENT OPTIONS, INC.

Provider Business Mailing Address
First Line	:	728 NORTH BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70802-5724
Country	:	US
Telephone Number	:	225-293-6774
Fax Number	:	225-291-9229

Provider Business Practice Location Address
First Line	:	4428 NORTH BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3917
Country	:	US
Telephone Number	:	225-334-9063
Fax Number	:	225-334-0959

Authorized Official
Title or Position	:	CEO
Name	:	MR. ROBERT L MILLER
Credential	:
Telephone Number	:	225-293-6774

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	09/11/2025

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