Healthcare Provider Details

I. General information

NPI: 1700214186
Provider Name (Legal Business Name): ACADIANA AREA HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 W 2ND ST
CROWLEY LA
70526-4720
US

IV. Provider business mailing address

1822 W 2ND ST
CROWLEY LA
70526-4720
US

V. Phone/Fax

Practice location:
  • Phone: 337-788-7511
  • Fax: 337-788-7588
Mailing address:
  • Phone: 337-788-7511
  • Fax: 337-788-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number117
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number482
License Number StateLA

VIII. Authorized Official

Name: ALANA ZENO
Title or Position: ADM. PROGRAM MANAGER
Credential:
Phone: 337-262-1329