OUR LADY OF THE LAKE NPI 1851391148

NPI Information

  • NPI: 1851391148
  • Provider Name: OUR LADY OF THE LAKE
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Doing Business As: FAMILY CENTER FOR MENTAL HEALTH
  • CLIA Number: 19D2305545
  • Address: 7777 HENNESSY BLVD
    SUITE 6000
    BATON ROUGE, LA
    ZIP 70808
  • Phone: (225) 765-8648

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NPI Details

OUR LADY OF THE LAKE is a psychiatry psychiatry neurology in Baton Rouge, LA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. OUR LADY OF THE LAKE NPI is 1851391148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Center For Mental Health.

The provider's business location address is:

7777 HENNESSY BLVD
SUITE 6000
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-8648
Fax: (225) 765-7898

The provider's authorized official is Tamara White .
The authorized official title is Director Of Business Services and has the following contact phone number (225) 765-4251.

The CLIA number assigned to this NPI record is 19D2305545 - other - advanced imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 5/11/2011.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

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
103085883MEDICAIDMISSISSIPPI
21446751MEDICAIDLOUISIANA
35D497MEDICARE PINLOUISIANA

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: 3/30/2025

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