Serenity Treatment Center Of Louisiana LLC
Clinic/Center, Multi-Specialty in Baton Rouge, LA. Organization (NPI-2).
NPI number1164061776
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1164061776
- Entity type
- Organization (NPI-2)
- Legal business name
- Serenity Treatment Center Of Louisiana LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 30, 2019
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Serenity Treatment Clinic (Doing Business As)
Practice location
2325 Weymouth DrBaton Rouge, LA 70809-1481
Phone 225-361-0899 · Fax 225-367-1422
Mailing address
2325 Weymouth DrBaton Rouge, LA 70809-1481
Phone 225-361-0899 · Fax 225-367-1422
Authorized official
Mary Talbert
Credentialing Manager
3378559023
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