Organization
SHOUT OUT USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD COLBERT (OWNER)
(225) 926-3493
Entity
Organization
Contact information
Practice address
547 N CARROLLTON AVE, BATON ROUGE, LA 70806-2702
(225) 926-3493
Mailing address
547 N CARROLLTON AVE, BATON ROUGE, LA 70806-2702
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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