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HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA NPI 1790236586


NPI Information

NPI: 1790236586
Provider Name: HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA

Former Legal Business Name: HOLISTIC BEHAVIORAL HEALTH SERVICE OF LOUISIANA

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 19D2222507

Address:
2156 WOODDALE BLVD STE 750
BATON ROUGE, LA
ZIP 70806
Phone: (225) 371-2945
Get Directions

HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA is a community behavioral health in Baton Rouge, LA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA NPI is 1790236586. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Holistic Behavioral Health Service Of Louisiana.

The provider's business location address is:

2156 WOODDALE BLVD STE 750
BATON ROUGE, LA
ZIP 70806-404
Phone: (225) 371-2945
Fax: (225) 930-8059

The provider's authorized official is Tommie Jerome Dyer .
The authorized official title is Ceo/owner and has the following contact phone number (225) 371-2945.

The CLIA number assigned to this NPI record is 19D2222507 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 7/29/2021.


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
1251B00000XCase Management510417LOUISIANANo
2252Y00000XEarly Intervention Provider AgencyNo
3171M00000XCase Manager/Care CoordinatorNo
4251S00000XCommunity/Behavioral Health510417LOUISIANAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.