| NPI | 1194484402 |
|---|---|
| Doing Business As | STEPHANIE C. BADON, PMHNP-BC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE C BADON Psychiatric Nurse Practitioner 337-608-9922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 305S00000X Point of Service | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-09-22 |