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COLLABORATIVE MINDS LLC NPI 1073863189


NPI Information

NPI: 1073863189
Provider Name: COLLABORATIVE MINDS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 19D2102291

Address:
7902 WRENWOOD BLVD
SUITE A.
BATON ROUGE, LA
ZIP 70809
Phone: (225) 456-2884
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COLLABORATIVE MINDS, LLC is an adult mental health clinic center in Baton Rouge, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. COLLABORATIVE MINDS, LLC NPI is 1073863189. The provider is registered as an organization entity type.

The provider's business location address is:

7902 WRENWOOD BLVD
SUITE A.
BATON ROUGE, LA
ZIP 70809-794
Phone: (225) 456-2884
Fax: (225) 456-2892

The provider's authorized official is Larry W. Warner .
The authorized official title is Member and has the following contact phone number (504) 400-2477.

The CLIA number assigned to this NPI record is 19D2102291 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 10/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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