Organization
THE SERENITY CENTER OF LOUISIANA, LLC
Active
Other names
Serenity Clinic of LA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L TALBERT (CREDENTIALLING SPECIALIST)
(337) 855-9023
Entity
Organization
Contact information
Practice address
2325 WEYMOUTH DR, BATON ROUGE, LA 70809-1481
(225) 361-0899
(225) 367-1421
Mailing address
2325 WEYMOUTH DR, BATON ROUGE, LA 70809-1481
(225) 361-0899
(225) 367-1421
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2203782149
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
LA
Enumeration date
10/31/2014
Last updated
11/06/2014
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