MATS CLINIC LLC NPI 1326875931

NPI Information

  • NPI: 1326875931
  • Provider Name: MATS CLINIC LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 19D2304534
  • Address: 624 CONNELL PARK LN STE A1
    BATON ROUGE, LA
    ZIP 70806
  • Phone: (225) 468-6287

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NPI Details

MATS CLINIC LLC is an addiction medicine family medicine in Baton Rouge, LA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MATS CLINIC LLC NPI is 1326875931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

624 CONNELL PARK LN STE A1
BATON ROUGE, LA
ZIP 70806-534
Phone: (225) 468-6287
Fax: (225) 443-4733

The provider's authorized official is Katelyn Melancon .
The authorized official title is Program Coordinator and has the following contact phone number (225) 468-6287.

The CLIA number assigned to this NPI record is 19D2304534 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2024 and was last updated on 3/13/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineYes
22084A0401XPsychiatry & NeurologyAddiction MedicineNo

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: 11/21/2025

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