# MENT LC

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

## Provider details

- **NPI number:** 1871162180
- **Authorized official:** JERICA MITCHELL (OWNER)
- **Authorized official phone:** (225) 725-2812

## Contact information

- **Practice address:** 4500 GOVERNMENT ST \# 64655, BATON ROUGE, LA 70806-5817
- **Practice address phone:** (225) 725-2812
- **Mailing address:** 4500 GOVERNMENT ST \# 64655, BATON ROUGE, LA 70806-5817
- **Mailing address phone:** (225) 725-2812

## 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:** 06/21/2021
- **Last updated:** 06/21/2021