MEDICARE: LEISURE COMMUNITY MENTAL HEALTH CENTER

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1831692227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEISURE COMMUNITY MENTAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	16430 KEYSTONE BLVD
Second Line	:
City	:	PRAIRIEVILLE
State	:	LA
Zip	:	70769-6190
Country	:	US
Telephone Number	:	225-773-4156
Fax Number	:

Provider Business Practice Location Address
First Line	:	16270 AIRLINE HWY STE D
Second Line	:
City	:	PRAIRIEVILLE
State	:	LA
Zip	:	70769-4589
Country	:	US
Telephone Number	:	225-773-4156
Fax Number	:

Authorized Official
Title or Position	:	COO/FACILITY DIRECTOR
Name	:	MRS. JAMILA WARNER
Credential	:	RN
Telephone Number	:	225-402-4155

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	04/11/2018

Similar Medicare Providers

1003245226 — DENTAL CARE GROUP
Practice Location Address:

16270 AIRLINE HWY , STE. B
PRAIRIEVILLE, LA
70769-4589

Practice Phone: 225-673-1557
Practice Fax: 225-673-6815

1104176353 — DR. CATRINEL ELENA JORDAN DDS, MS
Practice Location Address:

16270 AIRLINE HWY STE B
PRAIRIEVILLE, LA
70769-4589

Practice Phone: 225-673-1557
Practice Fax: 225-673-6815

1063751964 — PRAIRIEVILLE PHARMACY LLC
Practice Location Address:

16270 AIRLINE HWY , STE A-100
PRAIRIEVILLE, LA
70769-4589

Practice Phone: 225-677-7979
Practice Fax: 225-677-7990

1003205931 — DR. SHANTELL BURNS DNP, PMHNP-BC
Practice Location Address:

16270 AIRLINE HWY STE D
PRAIRIEVILLE, LA
70769-4589

Practice Phone: 225-402-2299
Practice Fax: 866-258-9870

1205463254 — ALLY MENTAL HEALTH, LLC
Practice Location Address:

16270 AIRLINE HWY STE D
PRAIRIEVILLE, LA
70769-4589

Practice Phone: 225-402-2299
Practice Fax: 866-258-9870

1306519517 — ETTA MARIA YANCEY FNP-C
Practice Location Address:

14350 HIGHWAY 73
PRAIRIEVILLE, LA
70769-3617

Practice Phone: 225-313-3930
Practice Fax: 225-313-3940

Directions to “LEISURE COMMUNITY MENTAL HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.