NPI 1144575531

Moss Side Counseling Services, LLC

Organisation Early Intervention Provider Agency Baton Rouge, LA

Practice location

Address: 5700 Florida Blvd Suite 312, Baton Rouge, LA 70806-4274
Phone: (225) 448-5567
Fax: (225) 448-5901

Authorised official

Name: Deborah Lynette Thomas
Title: Owner
Phone: (225) 324-8075

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 1079 (LA)

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Case Management Agency

Agencies Taxonomy 251B00000X Licence 00016582 (LA)

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Registry record

NPI: 1144575531
Entity type: Organization
NPI issued: 20 Jul 2012
Record last updated: 20 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.