SME COALITION FOR CHANGE LLC NPI 1306625868

NPI Information

  • NPI: 1306625868
  • Provider Name: SME COALITION FOR CHANGE LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 19D2274474
  • Address: 12278 PLANK RD.
    BATON ROUGE, LA
    ZIP 70811
  • Phone: (225) 364-9428

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NPI Details

SME COALITION FOR CHANGE LLC is a rehabilitation and substance use disorder clinic center in Baton Rouge, LA. SME COALITION FOR CHANGE LLC NPI is 1306625868. The provider is registered as an organization entity type.

The provider's business location address is:

12278 PLANK RD.
BATON ROUGE, LA
ZIP 70811-035
Phone: (225) 364-9428
Fax: (225) 341-6797

The provider's authorized official is Susie Ethelin King-duncan .
The authorized official title is Administrative Director and has the following contact phone number (210) 240-3198.

The CLIA number assigned to this NPI record is 19D2274474 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 1/30/2024.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

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This page was last updated on: 11/21/2025

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