| Baker Community Mental Health Center,llc | |
|
2402 Main St Baker LA 70714-2322 | |
| (225) 771-1510 | |
| (225) 771-1520 |
| Full Name | Baker Community Mental Health Center,llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2402 Main St, Baker, Louisiana |
| Authorized Official Name and Position | Jessica L Cowart (OFFICE MANAGER) |
| Authorized Official Contact | 2257711510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Community Mental Health Center,llc Po Box 668 Baker LA 70704-0668 Ph: (225) 771-1510 | Baker Community Mental Health Center,llc 2402 Main St Baker LA 70714-2322 Ph: (225) 771-1510 |
| NPI Number | 1003802745 |
|---|---|
| Provider Enumeration Date | 09/27/2005 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003802745 | NPI | - | NPPES |
| 1335649 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 014945 (Louisiana) | Primary |
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