# PROSPER & BLOOM MENTAL HEALTH, INC

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

## Provider details

- **NPI number:** 1619662244
- **Authorized official:** ANISSA WOMACK (OWNER)
- **Authorized official phone:** (225) 605-3103

## Contact information

- **Practice address:** 9800 AIRLINE HWY STE 219, BATON ROUGE, LA 70816-8195
- **Practice address phone:** (225) 605-3103
- **Mailing address:** 9800 AIRLINE HWY STE 219, BATON ROUGE, LA 70816-8195
- **Mailing address phone:** (225) 605-3103
- **Mailing address fax:** (225) 308-8614

## 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:** 04/10/2023
- **Last updated:** 06/25/2026