POST TRAUMA INSTITUTE OF LOUISIANA NPI 1588910947

NPI Information

POST TRAUMA INSTITUTE OF LOUISIANA is a mental health (including community mental health center) clinic center in Baton Rouge, LA. POST TRAUMA INSTITUTE OF LOUISIANA NPI is 1588910947. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10512 S GLENSTONE PL
BATON ROUGE, LA
ZIP 70810-966
Phone: (225) 751-5412
Fax: (225) 751-5847

The provider's authorized official is Lawrence Sullivan Salone .
The authorized official title is Founder and has the following contact phone number (225) 751-5412.

The CLIA number assigned to this NPI record is 19D2061587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2012 and was last updated on 7/28/2022.

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:

Other Identifiers

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

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