FAMILY THERAPY CLINIC OF LOUISIANA, LLC (NPI# 1629018585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629018585 |
| Entity Type | Organization |
| Organization Name | FAMILY THERAPY CLINIC OF LOUISIANA, LLC |
| Practice Address |
8480 Bluebonnet Blvd Ste A Baton Rouge LA 70810-2879 |
| Practice Telephone | 2252920155 |
| Practice Fax Number | 2252920157 |
| Mailing Telephone | 2252920155 |
| Mailing Fax Number | 2252920157 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | ERICH G DUCHMANN (OWNER/MANAGER) |
| Authorized Official Telephone | 2252920155 |
| Authorized Official Credential | PHD, MP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
8480 BLUEBONNET BLVD STE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821059155 | Brenda L. Durbin | Social Worker | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-03-28 |
| 1629039987 | Erich G Duchmann | Psychologist | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495538 | Michelle Waguespack | Counselor | 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 | 2020-07-28 |
| 1811510977 | Amanda Elizabeth Bourgeois | Counselor | 4329 Arrowhead St, Baton Rouge, LA 70808-3921 | 2020-05-24 |
| 1497389712 | Steven Naquin | Counselor | 2798 Oneal Ln Ste 8, Baton Rouge, LA 70816-3408 | 2020-02-25 |
| 1255974879 | Lisa Head | Counselor | 630 Richland Ave, Baton Rouge, LA 70806-5766 | 2019-10-27 |
| 1154983633 | Whole Health Counseling & Consulting, LLC | Counselor | 11613 Newcastle Ave Ste B-1, Baton Rouge, LA 70816-2215 | 2019-07-03 |
| 1013473396 | Corey C Taylor Sr. | Counselor | 9558 Mesa Verde Ave, Baton Rouge, LA 70814-4017 | 2019-02-12 |
| 1083187470 | Alycia Bueche | Counselor | 8738 Quarters Lake Rd Bldg 5, Baton Rouge, LA 70809-2194 | 2019-01-08 |
| 1417425109 | Norma Arlene Magee | Counselor | 2519 Rhododendron Ave, Baton Rouge, LA 70808-2265 | 2018-11-11 |
| 1578039640 | Michelle Murphy Rutherford | Counselor | 10935 Major Oak Dr, Baton Rouge, LA 70815-5445 | 2018-10-16 |
| 1144721259 | Michael R. Feldman, LLC | Counselor | 12097 Old Hammond Hwy., I-3, Baton Rouge, LA 70816-8679 | 2018-02-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on FAMILY THERAPY CLINIC OF LOUISIANA, 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.