Individual
LISA J MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
711 COLONIAL DR, BATON ROUGE, LA 70806-6549
(225) 246-2162
Mailing address
1113 PLUM ST, LAFAYETTE, LA 70501-8337
(225) 246-2162
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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