Gulf Coast Social Services, Inc. | |
5850 Florida Blvd Baton Rouge LA 70806-4247 | |
(225) 201-0696 | |
(225) 201-1792 |
Full Name | Gulf Coast Social Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 5850 Florida Blvd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Willie Green (CEO) |
Authorized Official Contact | 5048316561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gulf Coast Social Services, Inc. 2400 Edenborn Ave Metairie LA 70001-1817 Ph: (504) 831-6561 | Gulf Coast Social Services, Inc. 5850 Florida Blvd Baton Rouge LA 70806-4247 Ph: (225) 201-0696 |
NPI Number | 1033441985 |
---|---|
Provider Enumeration Date | 02/03/2010 |
Last Update Date | 09/27/2022 |
Certification Date | 09/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033441985 | NPI | - | NPPES |
1534854 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | ADC6594 (Louisiana) | Primary |
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