GENESIS BEHAVIORAL HOSPITAL INC NPI 1023119989

NPI Information

  • NPI: 1023119989
  • Provider Name: GENESIS BEHAVIORAL HOSPITAL INC
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • CLIA Number: 19D1059640
  • Address: 606 LATIOLAIS RD
    SUITE B
    BREAUX BRIDGE, LA
    ZIP 70517
  • Phone: (337) 237-4673

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NPI Details

GENESIS BEHAVIORAL HOSPITAL INC is a psychiatric hospital in Breaux Bridge, LA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. GENESIS BEHAVIORAL HOSPITAL INC NPI is 1023119989. The provider is registered as an organization entity type.

The provider's business location address is:

606 LATIOLAIS RD
SUITE B
BREAUX BRIDGE, LA
ZIP 70517
Phone: (337) 237-4673
Fax: (337) 237-4674

The provider's authorized official is William J Arledge .
The authorized official title is Cfo and has the following contact phone number (337) 237-4673.

The CLIA number assigned to this NPI record is 19D1059640 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 9/19/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2276400000XRehabilitation, Substance Use Disorder UnitNo
3283Q00000XPsychiatric Hospital1702633LOUISIANANo
4283Q00000XPsychiatric Hospital612LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1612MEDICAIDLOUISIANA

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: 11/21/2025

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