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Contact Information

DERRICK ALLEN
8706 JEFFERSON HWY STE A
BATON ROUGE, LA70809-2233
 Phone: 225-926-9706
 Fax: 225-926-9708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DERRICK ALLEN · (Male)

NPI # 1174993257
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2015
Last updated 04/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 5113
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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