Organization
ST. JOHN THE BAPTIST, HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN WAGUESPACK MILLS LCSW (CEO)
(225) 216-1199
Entity
Organization
Contact information
Practice address
7732 GOODWOOD BLVD, SUITE A-1, BATON ROUGE, LA 70806-7626
(225) 216-1199
(225) 216-1194
Mailing address
7732 GOODWOOD BLVD, SUITE A-1, BATON ROUGE, LA 70806-7626
(225) 216-1199
(225) 216-1194
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PCA 8037
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1663921
—
LA
Enumeration date
03/21/2007
Last updated
08/22/2020
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