SKJ PROFESSIONAL SERVICES, LLC (NPI# 1538675459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538675459 |
| Entity Type | Organization |
| Organization Name | SKJ PROFESSIONAL SERVICES, LLC |
| Practice Address |
8280 Ymca Plaza Dr Bldg 10b Baton Rouge LA 70810-0929 |
| Mailing Address |
16510 Butternut Ct Baton Rouge LA 70817-6553 |
| Practice Telephone | 2253414147 |
| Practice Fax Number | 2257551211 |
| Mailing Telephone | 2252783541 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | MS. SUZANNE JONES (APRN, PMHNP, LPC) |
| Authorized Official Telephone | 2252783541 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LPC4199 | LA | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
AP09208 | LA | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
LPC4199 | LA | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
AP09208 | LA | Ambulatory Health Care Facilities |
| Street Address |
8280 YMCA PLAZA DR BLDG 10B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-0929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366974495 | Christina Westbrook | Counselor | 8280 Ymca Plaza Dr Bldg 10b, Baton Rouge, LA 70810-0929 | 2017-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159238 | Sonia S. Blauvelt, Ph.d., LLC | Clinic/Center | 11914 Justice Ave Ste B3, Baton Rouge, LA 70816-5315 | 2020-06-24 |
| 1831739291 | Tiffany Mccaughey, Phd LLC | Clinic/Center | 2223 Quail Run Ste H1, Baton Rouge, LA 70808-9063 | 2020-01-13 |
| 1700392834 | Emily Hausladen, Lpc | Clinic/Center | 2133 Silverside Dr Ste G, Baton Rouge, LA 70808-4179 | 2017-12-27 |
| 1932613007 | Key Neuropsychology LLC | Clinic/Center | 2223 Quail Run Ste H1, Baton Rouge, LA 70808-9063 | 2017-11-27 |
| 1710403852 | The Chrysalis Center, LLC | Clinic/Center | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827 | 2017-08-21 |
| 1215389275 | Bc Counseling LLC | Clinic/Center | 8752 Quarters Lake Rd, Bldg 9, Baton Rouge, LA 70809-7306 | 2016-07-01 |
| 1306207253 | Jefferson Oaks Professional Services | Clinic/Center | 8318 Jefferson Hwy, Ste. A, Baton Rouge, LA 70809-0800 | 2016-03-18 |
| 1679950299 | Volunteers of America Greater Baton Rouge | Clinic/Center | 3949 North Blvd, Baton Rouge, LA 70806-3827 | 2015-05-04 |
| 1073863189 | Collaborative Minds, LLC | Clinic/Center | 7902 Wrenwood Blvd, Suite A., Baton Rouge, LA 70809-1794 | 2012-09-17 |
| 1588910947 | Post Trauma Institute of Louisiana | Clinic/Center | 2798 Oneal Ln, Ste. 8, Baton Rouge, LA 70816-3407 | 2012-08-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on SKJ PROFESSIONAL SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.