| Radical Changes Therapy Llc | |
|
8322 Jefferson Hwy Ste A Baton Rouge LA 70809-1624 | |
| (985) 855-2534 | |
| Not Available |
| Full Name | Radical Changes Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8322 Jefferson Hwy Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Racheal E Hebert (OWNER) |
| Authorized Official Contact | 9858552534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radical Changes Therapy Llc 623 S Eugene St Apt 2 Baton Rouge LA 70806-5471 Ph: (985) 855-2434 | Radical Changes Therapy Llc 8322 Jefferson Hwy Ste A Baton Rouge LA 70809-1624 Ph: (985) 855-2534 |
| NPI Number | 1134711187 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134711187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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