Healthcare Provider Details

I. General information

NPI: 1093195141
Provider Name (Legal Business Name): GENESIS BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8714 JEFFERSON HWY STE A
BATON ROUGE LA
70809-2002
US

IV. Provider business mailing address

10755 LINKWOOD CT
BATON ROUGE LA
70810-2901
US

V. Phone/Fax

Practice location:
  • Phone: 225-276-8428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2810
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MRS. TANYA STUART
Title or Position: OWNER
Credential: LPC
Phone: 225-771-9980