| Wholistic Rehabilitation Counseling And Behavior Management Llc | |
|
4811 Hooper Rd Ste 143 Baton Rouge LA 70811-3904 | |
| (225) 572-9622 | |
| Not Available |
| Full Name | Wholistic Rehabilitation Counseling And Behavior Management Llc |
|---|---|
| Speciality | Counselor |
| Location | 4811 Hooper Rd Ste 143, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Linda Peace-buie (CCO) |
| Authorized Official Contact | 2255729622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Rehabilitation Counseling And Behavior Management Llc Po Box 74675 Baton Rouge LA 70874-4675 Ph: (225) 572-9622 | Wholistic Rehabilitation Counseling And Behavior Management Llc 4811 Hooper Rd Ste 143 Baton Rouge LA 70811-3904 Ph: (225) 572-9622 |
| NPI Number | 1144075946 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 0244762409 |
|---|---|
| Medicare Enrollment ID | O20241014002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144075946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Linda Marie Peace-buie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083216980 PECOS PAC ID: 3971035130 Enrollment ID: I20241014002905 |
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