Provider Demographics
NPI:1326614942
Name:JANINA MAYEUX PHD LLC
Entity Type:Organization
Organization Name:JANINA MAYEUX PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYEUX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:225-324-0511
Mailing Address - Street 1:537 VILLARIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7335
Mailing Address - Country:US
Mailing Address - Phone:225-324-0511
Mailing Address - Fax:225-666-0766
Practice Address - Street 1:2214 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4128
Practice Address - Country:US
Practice Address - Phone:225-425-7631
Practice Address - Fax:225-666-0766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health