Blue, Jenita
Blue, Jenita is an individual health care provider with primary practice located at 1000 Chinaberry Dr Ste 900 , Bossier City LA 71111-2455. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blue, Jenita can be contacted via phone (318) 459-6579.Contact Information
Primary practice address
1000 Chinaberry Dr Ste 900
Bossier City LA 71111-2455
Phone: (318) 459-6579
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 15403 | Louisiana |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 15403 | Louisiana |
Profile Details
NPI number | 1780245498 |
---|---|
LBN Legal business name | Blue, Jenita |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2019 |
Last updated | Jun 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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