Healthcare Provider Details

I. General information

NPI: 1326464637
Provider Name (Legal Business Name): CAPITAL AREA HUMAN SERVICES DISTRICT SCHOOL BASED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 WOODDALE BLVD STE A
BATON ROUGE LA
70805-7567
US

IV. Provider business mailing address

PO BOX 66558
BATON ROUGE LA
70896-6558
US

V. Phone/Fax

Practice location:
  • Phone: 225-922-0478
  • Fax: 225-922-2658
Mailing address:
  • Phone: 225-922-2700
  • Fax: 225-362-5319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANZLEAN LAUGHINGHOUSE
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD, LCSW-BACS, LAC
Phone: 225-922-2700