Individual
MR. SILAS JAMES THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4348 S JEFFREY DR STE 102, BATON ROUGE, LA 70816
(225) 361-0219
(225) 361-0483
Mailing address
9420 LINDALE AVE STE A, BATON ROUGE, LA 70815-4161
(225) 442-3540
(225) 423-5462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
2203783163
LA
Other
Enumeration date
12/28/2017
Last updated
09/05/2018
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