Our Lady Of The Lake in Baton Rouge - Child & Adolescent Psychiatry

Our Lady Of The Lake - NPI 1851391148

Our Lady Of The Lake is a Child & Adolescent Psychiatry in Baton Rouge, Louisiana. Our Lady Of The Lake practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Our Lady Of The Lake is 1851391148. The last update date is 2011-05-11.

Our Lady Of The Lake's current location address is 7777 Hennessy Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257658648 and fax number 2257657898. The mailing address for Our Lady Of The Lake is 7777 Hennessy Blvd, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Our Lady Of The Lake
Address 7777 Hennessy Blvd, Baton Rouge, Louisiana
Phone Number 2257658648
Fax Number 2257657898
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name White Tamara
Telephone Number 2257654251

NPI Number Detail

NPI Number 1851391148
Provider Enumeration Date 2005-07-28
Last Updated Date 2011-05-11

Provider Mailing Address Detail

Address 7777 Hennessy Blvd
City Baton Rouge
State Louisiana (LA)
Post Code 708084300
Phone Number 2257658648
Fax Number 2257657898

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3085883 MS --
1446751 LA --

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FAQs about Our Lady Of The Lake

What is the unique identifier code issued to Our Lady Of The Lake by the Centers for Medicare & Medicaid Services (CMS)?

The Our Lady Of The Lake has been assigned the NPI (National Provider Identifier) 1851391148. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Our Lady Of The Lake's facilities are situated?

The facilities of Our Lady Of The Lake are physically located at the following address: 7777 Hennessy Blvd, Baton Rouge, LA, 708084300.

What is Our Lady Of The Lake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Our Lady Of The Lake's specialized field of practice is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0804X.

On what date did the Our Lady Of The Lake receive the assignment of its 1851391148 from the Centers for Medicare & Medicaid Services?

The Our Lady Of The Lake was issued its 1851391148 by the Centers for Medicare & Medicaid Services on 2005-07-28.

As of what date were the details pertaining to Our Lady Of The Lake last refreshed?

The information related to the Our Lady Of The Lake, including its address, specialty, and other relevant details, was last updated on 2011-05-11.

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