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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELEASIA JOANETTA WILSON

Active Sole Proprietor

ELEASIA JOANETTA WILSON is a Community/Behavioral Health healthcare provider located in BATON ROUGE, Louisiana. NPI 1689181620 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · BATON ROUGE, LA

Registration Details

NPI Number
1689181620
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2017 (8.4419428152727 yrs)
Last Updated
Apr 4, 2023
License
LAC-5132 (LA)
Sole Proprietor
Yes

Practice Information

Address
4348 S JEFFREY DR
BATON ROUGE, LA, 708164196
Browse LA providers · Browse ZIP 70816
Phone
2253610483
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Community/Behavioral Health

Other Community/Behavioral Health Providers in BATON ROUGE, LA

Name Credential NPI
ELIZABETH CAVALIER LPC 1043610934
MR. GLYNIS RAY HUDSON II 1730630963
BRANDON FONTENOT 1467980532
TIA BROWN BONDS BSW, MBA 1548782451
JOSHUA IKEGULU CASE MANGER 1205347580
MR. SILAS JAMES THOMAS JR. 1104332196
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.