Individual
AMY NEVILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8211 SUMMA AVE, BATON ROUGE, LA 70809
(225) 761-1970
Mailing address
13299 LOVETT RD, BATON ROUGE, LA 70818-5824
(337) 692-2055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
06/11/2018
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