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NPI Code Detail

MEDICARE: VERRICHA STEWART

MEDICARE: VERRICHA STEWART
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528545977
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERRICHA STEWART
Provider Business Mailing Address
First Line : 1120 GOVERNMENT ST STE E
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-4802
Country : US
Telephone Number : 225-364-2550
Fax Number :
Provider Business Practice Location Address
First Line : 1120 GOVERNMENT ST STE E
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-4802
Country : US
Telephone Number : 225-364-2550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2018
Last Update Date : 04/08/2025

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Directions to “ VERRICHA STEWART ” Practice Location

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