person
Brantley Booth, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Lake Charles, Louisiana
NPI 1205527819

Brantley Booth is a Psychiatric/Mental Health Nurse Practitioner based in Lake Charles, LA and is specialized in Psychiatric/Mental Health. Brantley Booth practices in Lake Charles, LA and has the professional credentials of PMHNP. The NPI Number for Brantley Booth is 1205527819 and holds a License No. 230060 (Louisiana).

The current practice location address for Brantley Booth is 2829 4Th Ave Ste 150, Lake Charles, LA and can be reached out via phone at 337-480-7800 and via fax at 337-474-4552.

Location: 2829 4Th Ave Ste 150, Lake Charles, LA, 70601-7897
person
Provider Profile Details
NPI Number
1205527819
Provider Name
Brantley Booth
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
2829 4Th Ave Ste 150, Lake Charles, LA, 70601-7897
Phone Number
337-480-7800
Fax Number
337-474-4552
Provider Enumeration Date
05/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2829 4Th Ave Ste 150
City
State
Zip
70601-7897
Phone Number
337-480-7800
Fax Number
337-474-4552
person
Provider Business Mailing Address Details
Address
2829 4Th Ave Ste 150
City
State
Zip
70601-7897
Phone Number
337-480-7800
Fax Number
337-474-4552
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
230060 (Louisiana)
Definition
Definition to come...
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