Healthcare Provider Details

I. General information

NPI: 1922148865
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 225-387-0061
  • Fax: 225-387-9893
Mailing address:
  • Phone: 225-387-0061
  • Fax: 225-381-7963

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 State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TERRY ANDERSON
Title or Position: VICE PRESIDENT/ CFO
Credential:
Phone: 225-387-0061