Healthcare Provider Details

I. General information

NPI: 1982768644
Provider Name (Legal Business Name): CAPITAL AREA HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 COLONIAL DR
BATON ROUGE LA
70806-6505
US

IV. Provider business mailing address

PO BOX 66558
BATON ROUGE LA
70896-6558
US

V. Phone/Fax

Practice location:
  • Phone: 225-922-0445
  • Fax: 888-971-4033
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 Number116
License Number StateLA

VIII. Authorized Official

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