| Amanda Taylor, | |
|
3952 Waterbury Ave, Baton Rouge, LA 70810-3386 | |
| (225) 497-8201 | |
| Not Available |
| Full Name | Amanda Taylor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3952 Waterbury Ave, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215397922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7337 (Louisiana) | Primary |
| Entity Name | Azalea Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043999170 PECOS PAC ID: 8628432028 Enrollment ID: O20230919002265 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Taylor, 1713 General Mouton Ave, Baton Rouge, LA 70810-6818 Ph: (225) 287-3791 | Amanda Taylor, 3952 Waterbury Ave, Baton Rouge, LA 70810-3386 Ph: (225) 497-8201 |
Janet Roy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4615 Government St, Building 2, Baton Rouge, LA 70806 Phone: 225-925-1906 Fax: 225-925-1972 |
Dr. Shalanda R Judge, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Goodwood Blvd Ste A1, Baton Rouge, LA 70806 Phone: 225-421-1921 |
Devora Knight, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8706 Jefferson Hwy Ste A, Baton Rouge, LA 70809 Phone: 225-926-9706 Fax: 225-926-9708 |
Alacia Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3968 North Blvd, Baton Rouge, LA 70806 Phone: 225-397-4414 |
Jennifer Sampson Norwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Colonial Dr, Baton Rouge, LA 70806 Phone: 225-292-5151 |
Staci Nicole Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11616 Southfork Ave, Baton Rouge, LA 70816 Phone: 225-291-9646 |
Miss Kenyell Shantae Mclean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8325 Kelwood Ave., Baton Rouge, LA 70806 Phone: 225-245-5095 |