# MENT PSYCHIATRY

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

## Provider details

- **NPI number:** 1326617689
- **Authorized official:** JERICA LAYNE MITCHELL PMHNP (PROVIDER/OWNER)
- **Authorized official phone:** (225) 888-3628

## Contact information

- **Practice address:** 13392 MAGNOLIA SQUARE DRIVE, BATON ROUGE, LA 70818
- **Practice address phone:** (225) 503-0088
- **Mailing address:** PO BOX 64655, BATON ROUGE, LA 70896-4655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/22/2021