Eclectic Cognitive Behavioral Center, Llc

LBN: Eclectic Cognitive Behavioral Center, Llc
Eclectic Cognitive Behavioral Center, Llc is an health care organization with primary practice located at 1733 Wooddale Blvd , Baton Rouge LA 70806-1508. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Eclectic Cognitive Behavioral Center, Llc can be contacted via phone (225) 924-2800, or through Mims, Jacqueline M via phone (225) 924-2800.

Contact Information

Primary practice address
1733 Wooddale Blvd Baton Rouge LA 70806-1508
Phone: (225) 924-2800
Fax: (225) 924-2800
Website:
Map and Directions
Authorized official contact:
Name: Mims, Jacqueline M EDD, PHD
Phone: (225) 924-2800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 3676 Louisiana

Profile Details

NPI number 1063830727
LBN Legal business name Eclectic Cognitive Behavioral Center, Llc
DBA Doing business as
Authorized official Mims, Jacqueline M EDD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2014
Last updated Aug 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063830727 NPPES
Louisiana MEDICAID 600559886

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