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1619662244
PROSPER & BLOOM MENTAL HEALTH, LLC
BATON ROUGE, LA
NPI
1619662244
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Entity Type
Organization
Authorized Contact
ANISSA WOMACK
Member
225-605-3103
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
PROSPER & BLOOM MENTAL HEALTH, LLC
301 MAIN ST STE 2200
BATON ROUGE, LA 70801-0014
Phone number: 225-605-3103
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Mailing Address
PROSPER & BLOOM MENTAL HEALTH, LLC
1765 ONEAL LN # 479
BATON ROUGE, LA 70816-1633
Phone number:
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