Hynethia Nicole Wise
Case Manager/Care Coordinator in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1982132569
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982132569
- Entity type
- Individual (NPI-1)
- Name
- Hynethia Nicole Wise
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
422 Colonial DrBaton Rouge, LA 70806
Phone 225-292-5151
Mailing address
422 Colonial DrBaton Rouge, LA 70806-6505
Phone 225-292-5151
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