Organization
PURE MIND COUNSELING & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELLE JACOBS LPC-S (FOUNDER, LPC-S)
(225) 217-2898
Entity
Organization
Contact information
Practice address
4875 S SHERWOOD FOREST BLVD STE D1, BATON ROUGE, LA 70816-4640
(225) 217-2898
(504) 500-9412
Mailing address
4875 S SHERWOOD FOREST BLVD STE D1, BATON ROUGE, LA 70816-4640
(225) 217-2898
(504) 500-9412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
03/20/2021
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