Organization
MATS CLINIC LLC
Active
Organization
MATS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN MELANCON (PROGRAM COORDINATOR)
(225) 468-6287
Entity
Organization
Contact information
Practice address
624 CONNELL PARK LN STE A1, BATON ROUGE, LA 70806-6534
(225) 468-6287
(225) 443-4733
Mailing address
624 CONNELL PARK LN STE A1, BATON ROUGE, LA 70806-6534
(225) 468-6287
(225) 251-4502
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
09/17/2024
Last updated
03/13/2025
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