19D2222507 CLIA NUMBER - HOLISTIC BEHAVIOR HEALTH SERVICES OF LOUISIANA

Laboratory Demographics

CLIA Number: 19D2222507

Facility Name: HOLISTIC BEHAVIOR HEALTH SERVICES OF LOUISIANA

Facility Address:
2156 WOODDALE BLVD, STE 750
BATON ROUGE, LA
ZIP 70806
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Facility Phone Number: 225 930-8058

Facility Type: Other - BEHAVIORAL HEALTH

Certificate Type: Waiver

NPI Number: 1790236586

Taxonomy: 251S00000X - Community/Behavioral Health
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.

CLIA Record

Field Name	Field Value
CLIA Number	19D2222507
LAB Type	Other - BEHAVIORAL HEALTH
Facility Name	HOLISTIC BEHAVIOR HEALTH SERVICES OF LOUISIANA
Street	2156 WOODDALE BLVD, STE 750
City	BATON ROUGE
State	LA
ZIP	70806
Phone	225 930-8058
CertificateType	4
CertificateEffectiveDate	4/29/2023
CertificateExpirationDate	4/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024