William Tucker
NPI #1609232644 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1609232644
- Entity Type
- Organization
- Organization Name
- William Tucker
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jan 6, 2016
- Last Updated
- Jan 6, 2016
Practice Location
- Address
- 820 ONEAL LN
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-1805
- Phone
- (706) 200-0197
Authorized Official
- Name
- MRS. JACKIE POWELL, LMFT
- Title
- CLINICAL DIRECTOR
- Phone
- (225) 275-3039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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