Provider Demographics
NPI:1457188393
Name:CLOVERLEAF THERAPY
Entity type:Organization
Organization Name:CLOVERLEAF THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:BARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MPH
Authorized Official - Phone:225-362-0134
Mailing Address - Street 1:447 SEYBURN DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-5561
Mailing Address - Country:US
Mailing Address - Phone:225-754-2730
Mailing Address - Fax:225-615-8135
Practice Address - Street 1:7470 HIGHLAND RD STE 1
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-6611
Practice Address - Country:US
Practice Address - Phone:225-362-0134
Practice Address - Fax:225-615-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)