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GULF COAST BEHAVIORAL HEALTH LLC NPI 1043956527


NPI Information

NPI: 1043956527
Provider Name: GULF COAST BEHAVIORAL HEALTH, LLC

Former Legal Business Name: GULF COAST BEHAVIORAL HEALTH

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 19D2276722

Address:
37283 SWAMP RD STE 803
PRAIRIEVILLE, LA
ZIP 70769
Phone: (225) 254-9589
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GULF COAST BEHAVIORAL HEALTH, LLC is a substance abuse rehabilitation facility in Prairieville, LA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GULF COAST BEHAVIORAL HEALTH, LLC NPI is 1043956527. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Gulf Coast Behavioral Health.

The provider's business location address is:

37283 SWAMP RD STE 803
PRAIRIEVILLE, LA
ZIP 70769-329
Phone: (225) 254-9589
Fax: (225) 208-7267

The provider's authorized official is Cristy Stibal .
The authorized official title is Director Of Operations and has the following contact phone number (208) 821-1032.

The CLIA number assigned to this NPI record is 19D2276722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2022 and was last updated on 3/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2104100000XSocial WorkerNo
3106H00000XMarriage & Family TherapistNo
4175T00000XPeer SpecialistNo
5225C00000XRehabilitation CounselorNo
6251S00000XCommunity/Behavioral HealthNo
7261QM0850XClinic/CenterAdult Mental HealthNo
8261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
9261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
10363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
11324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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