Healthcare Provider Details

I. General information

NPI: 1306209887
Provider Name (Legal Business Name): LOUISIANA EMPOWERMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1676 DALLAS DR STE C
BATON ROUGE LA
70806-1409
US

IV. Provider business mailing address

1676 DALLAS DR STE C
BATON ROUGE LA
70806-1409
US

V. Phone/Fax

Practice location:
  • Phone: 225-292-5151
  • Fax:
Mailing address:
  • Phone: 225-292-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number5617
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: RESHONDA HARGROVE
Title or Position: MANAGER
Credential:
Phone: 225-292-5151