WOODDALE MENTAL HEALTH, LLC (NPI# 1306947049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306947049 |
| Entity Type | Organization |
| Organization Name | WOODDALE MENTAL HEALTH, LLC |
| Practice Address |
1335 Wooddale Blvd # B Baton Rouge LA 70806-2328 |
| Mailing Address |
3700 Bayou Rapides Rd Alexandria LA 71303-3601 |
| Practice Telephone | 3184730863 |
| Practice Fax Number | 3184739889 |
| Mailing Telephone | 3184730863 |
| Mailing Fax Number | 3184739889 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | RENESSA L FOWLKES (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3184730863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1335 WOODDALE BLVD # B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378764 | Recovery Innovations, Inc | Clinic/Center | 3455 Florida St, Baton Rouge, LA 70806-3764 | 2020-05-21 |
| 1033738562 | 360 Recovery Group LLC | Clinic/Center | 4184 North Blvd, Baton Rouge, LA 70806-3911 | 2020-04-14 |
| 1043878788 | Made Whole Counseling, LLC | Clinic/Center | 9466 Greenwell Springs Rd, Baton Rouge, LA 70814-2911 | 2019-05-29 |
| 1134606692 | Journey To Insight | Clinic/Center | 10508 N Glenstone Pl, Baton Rouge, LA 70810-2838 | 2018-07-26 |
| 1629460456 | Restore Outreach Center | Clinic/Center | 2415 Government St, Baton Rouge, LA 70806-5318 | 2015-03-03 |
| 1457771875 | The Wise Fox Corporation | Clinic/Center | 18634 Bay Ridge Ct, Baton Rouge, LA 70817-1802 | 2014-04-24 |
| 1518399229 | Restoration Community Services LLC | Clinic/Center | 3044 Elgin St, Baton Rouge, LA 70805-7311 | 2013-08-05 |
| 1952507782 | Generations Behavioral Health, Inc. | Clinic/Center | 10425 Plaza Americana Dr, Baton Rouge, LA 70816-8188 | 2007-06-27 |
| 1679775787 | Shout Out Usa | Clinic/Center | 547 N Carrollton Ave, Baton Rouge, LA 70806-2702 | 2007-06-01 |
| 1013127166 | Serenity Center LLC | Clinic/Center | 1023 N Lobdell Ave, Baton Rouge, LA 70806-2233 | 2007-05-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on WOODDALE MENTAL HEALTH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.