Healthcare Provider Details

I. General information

NPI: 1881138899
Provider Name (Legal Business Name): NEW HORIZONS BEHAVIOR HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2016
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12628 HOOPER RD STE C
BATON ROUGE LA
70818-3527
US

IV. Provider business mailing address

12628 HOOPER RD STE C
BATON ROUGE LA
70818-3527
US

V. Phone/Fax

Practice location:
  • Phone: 225-953-8170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number5251
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. KENDALL HERBERT BROWN
Title or Position: OWNER
Credential: LPC
Phone: 225-718-0991