Healthcare Provider Details

I. General information

NPI: 1194470906
Provider Name (Legal Business Name): POST TRAUMA INSTITUTE OF LOUISIANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 JUSTICE AVE
BATON ROUGE LA
70816-2373
US

IV. Provider business mailing address

PO BOX 83814
BATON ROUGE LA
70884-3814
US

V. Phone/Fax

Practice location:
  • Phone: 225-751-5412
  • Fax: 225-751-5847
Mailing address:
  • Phone: 225-361-8225
  • Fax: 225-751-5847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LAWRENCE SULLIVAN SALONE
Title or Position: FOUNDER
Credential: PHD
Phone: 225-361-8225