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MEDICAL MANAGEMENT OPTIONS LLC NPI 1104901701


NPI Information

NPI: 1104901701
Provider Name: MEDICAL MANAGEMENT OPTIONS, LLC

Doing Business As: MMO OF BATON ROUGE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4428 NORTH BLVD
BATON ROUGE, LA
ZIP 70806
Phone: (225) 267-6443
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MEDICAL MANAGEMENT OPTIONS, LLC is a mental health (including community mental health center) clinic center in Baton Rouge, LA. MEDICAL MANAGEMENT OPTIONS, LLC NPI is 1104901701. The provider is registered as an organization entity type.
The provider Is Doing Business As Mmo Of Baton Rouge.

The provider's business location address is:

4428 NORTH BLVD
BATON ROUGE, LA
ZIP 70806-917
Phone: (225) 267-6443
Fax: (225) 346-0157

The provider's authorized official is Robert L. Miller .
The authorized official title is Chief Executive Officer and has the following contact phone number (225) 293-6774.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/7/2011.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2791LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119-4616MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA

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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