Healthcare Provider Details

I. General information

NPI: 1730104654
Provider Name (Legal Business Name): CAPITAL AREA HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 E WORTHY ST STE B
GONZALES LA
70737-4369
US

IV. Provider business mailing address

PO BOX 66558
BATON ROUGE LA
70896-6558
US

V. Phone/Fax

Practice location:
  • Phone: 225-621-5770
  • Fax: 833-606-6429
Mailing address:
  • Phone: 225-922-2700
  • Fax: 225-362-5319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

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