Individual
MRS. GEORGIA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14635 S HARRELLS FERRY RD, STE. 3-A, BATON ROUGE, LA 70816-2959
(225) 751-5412
(225) 751-5847
Mailing address
14635 S HARRELLS FERRY RD, STE. 3-A, BATON ROUGE, LA 70816-2959
(225) 751-5412
(225) 751-5847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1164
LA
106H00000X
Marriage & Family Therapist
Primary
831
LA
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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