Individual provider · Type 1 NPI

Eleasia Joanetta Wilson

Community/Behavioral Health Agency · Baton Rouge, LA

NPI number 1689181620 Active

Practice location

4348 S Jeffrey Dr
Baton Rouge, LA 70816-4196

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLAC-5132 (LA)
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1689181620

Eleasia Joanetta Wilson's National Provider Identifier is 1689181620, issued on Dec 29, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 4, 2023.