MAGNOLIA MENTAL HEALTH SERVICES NPI 1316513559

NPI Information

MAGNOLIA MENTAL HEALTH SERVICES is a psychiatric/mental health nurse practitioner in Baton Rouge, LA. MAGNOLIA MENTAL HEALTH SERVICES NPI is 1316513559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11764 HAYMARKET AVE
BATON ROUGE, LA
ZIP 70816-009
Phone: (225) 773-0942

The provider's authorized official is Tonya Greene Stelly .
The authorized official title is Nurse Practitioner and has the following contact phone number (225) 773-0942.

The CLIA number assigned to this NPI record is 19D0870075 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 9/25/2021.

Taxonomy Codes

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Other Identifiers

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