institution
Mmo Jennings, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Baton Rouge, Louisiana
NPI 1578554853

Mmo Jennings, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Jennings, LA and is specialized in Mental Health (Including Community Mental Health Center). Mmo Jennings, Llc practices in Baton Rouge, LA. The NPI Number for Mmo Jennings, Llc is 1578554853 and holds a License No. 7858 (Louisiana).

The current practice location address for Mmo Jennings, Llc is 728 North Boulevard, Baton Rouge, LA and can be reached out via phone at 225-293-6774 and via fax at 225-291-9229. You can also correspond with Mmo Jennings, Llc through the mailing address at 619 N MAIN ST, JENNINGS, LA - 70546-5347 (mailing address contact number: 337-824-4300).

Location: 728 North Boulevard, Baton Rouge, LA, 70546-5347
institution
Provider Profile Details
NPI Number
1578554853
Provider Name
Mmo Jennings, Llc
Credential
Provider Entity Type
Organization
Address
728 North Boulevard, Baton Rouge, LA, 70546-5347
Phone Number
225-293-6774
Fax Number
225-291-9229
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60041 01 BLUE CROSS
1428400 05 LA
institution
Provider Business Practice Location Address Details
Address
728 North Boulevard
City
State
Zip
70802-5724
Phone Number
225-293-6774
Fax Number
225-291-9229
person
Provider Business Mailing Address Details
Address
619 N Main St
City
State
Zip
70546-5347
Phone Number
337-824-4300
Fax Number
337-824-4315
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
7858 (Louisiana)
Definition
Definition to come...
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