Healthcare Provider Details

I. General information

NPI: 1659759744
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 CAROLYN SUE DR
BATON ROUGE LA
70815-5509
US

IV. Provider business mailing address

7389 FLORIDA BLVD STE 101A
BATON ROUGE LA
70806-4657
US

V. Phone/Fax

Practice location:
  • Phone: 259-289-3982
  • Fax:
Mailing address:
  • Phone: 225-387-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NATALIE FAYE CARPENTER
Title or Position: MYEVOLV DIVISION DIRECTOR II
Credential:
Phone: 337-656-0435