Organization
JMJ PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE ELIZABETH CAMPBELL PHD (OWNER)
(225) 719-1988
Entity
Organization
Contact information
Practice address
412 N 4TH ST STE 100, BATON ROUGE, LA 70802-5523
(225) 719-1988
(888) 719-5854
Mailing address
7725 HANKS DR, BATON ROUGE, LA 70812-4004
(225) 719-1988
(888) 719-5854
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
773
LA
103TC1900X
Counseling Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563439
—
LA
Enumeration date
11/26/2011
Last updated
12/12/2022
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