# VIDRINE PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245036540
- **Authorized official:** MR. ASHTON C VIDRINE APRN, PMHNP-BC, LMSW (OWNER)
- **Authorized official phone:** (225) 268-1412

## Contact information

- **Practice address:** 689 E AIRPORT AVE STE 1, BATON ROUGE, LA 70806-6557
- **Practice address phone:** (225) 268-1412
- **Mailing address:** 689 E AIRPORT AVE STE 1, BATON ROUGE, LA 70806-6557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 02/20/2025