Individual
AMBER MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 929-9738
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 385-0128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311701481
—
LA
Enumeration date
10/12/2015
Last updated
06/23/2023
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