| Patrick L. Landaiche, Lcsw, Llc | |
|
2333 Government St Baton Rouge LA 70806-5316 | |
| (225) 406-7322 | |
| Not Available |
| Full Name | Patrick L. Landaiche, Lcsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2333 Government St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Patrick Landaiche (OWNER) |
| Authorized Official Contact | 2254067322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick L. Landaiche, Lcsw, Llc 17367 Wrenwood Dr Prairieville LA 70769-4052 Ph: (225) 406-7322 | Patrick L. Landaiche, Lcsw, Llc 2333 Government St Baton Rouge LA 70806-5316 Ph: (225) 406-7322 |
| NPI Number | 1912705096 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Medicare PECOS PAC ID | 3678099934 |
|---|---|
| Medicare Enrollment ID | O20250429003272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912705096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patrick Lewis Landaiche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720502941 PECOS PAC ID: 4587180849 Enrollment ID: I20250429003418 |
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