Marlo Anderson
Individual provider Active NPI Community/Behavioral Health Agency · Baker, LA
NPI 1962867960 · NPPES record last updated Dec 18, 2015
Key facts
- NPI
- 1962867960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 273056931 (LA)
- Practice address
- 13888 Plank Rd
Baker, LA 70714-4929 - Phone
- (225) 636-2638
- Fax
- (225) 775-5068
- NPI assigned
- Dec 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Gaines and Faith LLC | Community/Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 273056931 | LA | Yes |
Addresses
Primary practice location
13888 Plank Rd
Baker, LA 70714-4929
Mailing address
13888 Plank Rd
Baker, LA 70714-4929
Phone (225) 636-2638
Other providers in Baker, LA
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- Maya Anderson
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All providers in Baker, LA · Community/Behavioral Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.