Organization · NPI-2
Alternative Healing LLC
Clinic/Center, Adult Mental Health · Baton Rouge, LA
NPI number1518601152
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1518601152
- Entity type
- Organization (NPI-2)
- Legal business name
- Alternative Healing LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2022
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
6421 Ingram DrBaton Rouge, LA 70812-2336
Phone 225-351-7262
Mailing address
6421 Ingram DrBaton Rouge, LA 70812-2336
Authorized official
Ernesha A Smith
Owner
2253309773
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