Provider Demographics
NPI:1831970185
Name:ESCHETTE, PEYTON R (LMSW)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:R
Last Name:ESCHETTE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 MAGNOLIA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-1449
Mailing Address - Country:US
Mailing Address - Phone:985-637-0945
Mailing Address - Fax:
Practice Address - Street 1:1105 LEE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-8714
Practice Address - Country:US
Practice Address - Phone:225-924-9406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA159891041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool