MEDICARE: SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	148	LA

General Provider Information

NPI Number	:	1104256338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY

Provider Business Mailing Address
First Line	:	158 REGAL ROW
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70360-6097
Country	:	US
Telephone Number	:	985-858-2931
Fax Number	:	985-426-6004

Provider Business Practice Location Address
First Line	:	1809 W AIRLINE HWY
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70068-3336
Country	:	US
Telephone Number	:	985-652-8444
Fax Number	:	985-652-2450

Authorized Official
Title or Position	:	DEPUTY DIRECTOR
Name	:	MRS. MISTY HEBERT
Credential	:	LPC
Telephone Number	:	985-858-2931

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	06/05/2026

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Directions to “SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY ” Practice Location

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