Healthcare Provider Details

I. General information

NPI: 1679107809
Provider Name (Legal Business Name): LAUREN BENNETT HUTCHINSON RAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9171 COCKERHAM RD STE 201
DENHAM SPRINGS LA
70726-2255
US

IV. Provider business mailing address

12136 S MILSTEAD PL
BATON ROUGE LA
70818-2642
US

V. Phone/Fax

Practice location:
  • Phone: 225-523-5121
  • Fax:
Mailing address:
  • Phone: 225-505-8982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: