Organization
CONNECTING CONCEPTUAL CONSTRUCTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUCER TADEMY MPA (DIRECTOR)
(225) 771-8071
Entity
Organization
Contact information
Practice address
4919 JAMESTOWN AVE, SUITE 104, BATON ROUGE, LA 70808-3228
(225) 771-8071
(225) 771-8072
Mailing address
PO BOX 80294, BATON ROUGE, LA 70898-0294
(225) 771-8071
(225) 771-8072
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
LA
251S00000X
Community/Behavioral Health Agency
—
LA
252Y00000X
Early Intervention Provider Agency
Primary
—
LA
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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