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Organization
PROSPER & BLOOM MENTAL HEALTH, INC
Active
Organization
PROSPER & BLOOM MENTAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA WOMACK (OWNER)
(225) 605-3103
Entity
Organization
Contact information
Practice address
9800 AIRLINE HWY STE 219, BATON ROUGE, LA 70816-8195
(225) 605-3103
Mailing address
9800 AIRLINE HWY STE 219, BATON ROUGE, LA 70816-8195
(225) 605-3103
(225) 308-8614
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
06/25/2026
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