Wilson, Eleasia Joanetta
Wilson, Eleasia Joanetta is an sole proprietor health care provider with primary practice located at 4348 S Jeffrey Dr , Baton Rouge LA 70816-4196. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Wilson, Eleasia Joanetta can be contacted via phone (225) 361-0483.Contact Information
Primary practice address
4348 S Jeffrey Dr
Baton Rouge LA 70816-4196
Phone: (225) 361-0483
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAC-5132 | Louisiana |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1689181620 |
|---|---|
| LBN Legal business name | Wilson, Eleasia Joanetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2017 |
| Last updated | Apr 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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