C. Louise LLC
Case Management in Ellenwood, GA. Organization (NPI-2).
NPI number1750015632
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1750015632
- Entity type
- Organization (NPI-2)
- Legal business name
- C. Louise LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2022
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251V00000X | Voluntary or Charitable | – | – |
Practice location
2445 Rex Rd Apt Dd2Ellenwood, GA 30294-4422
Phone 404-709-5148
Mailing address
5656 Jonesboro Rd Ste 111Lake City, GA 30260-3809
Authorized official
Chantaye Louise Mclaughlin
Ceo
4047095148
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