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NPI Code Detail

MEDICARE: MENTAL HEALTH THERAPY & CONSULTING LLC

MEDICARE: MENTAL HEALTH THERAPY & CONSULTING 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1548976822
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH THERAPY & CONSULTING LLC
Provider Business Mailing Address
First Line : 3415 GERLANDO DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70814-1109
Country : US
Telephone Number : 225-610-7400
Fax Number :
Provider Business Practice Location Address
First Line : 3415 GERLANDO DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70814-1109
Country : US
Telephone Number : 225-610-7400
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DANETHIA SAUNDERS
Credential :
Telephone Number : 225-610-7400
Provider Enumeration Date : 01/30/2023
Last Update Date : 01/30/2023

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Directions to “MENTAL HEALTH THERAPY & CONSULTING LLC ” Practice Location

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