Healthcare Provider Details

I. General information

NPI: 1134129414
Provider Name (Legal Business Name): DEPARTMENT OF HEALTH AND HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 06/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5599 HIGHWAY 311
HOUMA LA
70360
US

IV. Provider business mailing address

5599 HIGHWAY 311
HOUMA LA
70360
US

V. Phone/Fax

Practice location:
  • Phone: 985-857-3615
  • Fax: 985-857-3706
Mailing address:
  • Phone: 985-857-3615
  • Fax: 985-857-3706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number013
License Number StateLA

VIII. Authorized Official

Name: MS. LISA SCHILLING
Title or Position: EXECUTIVE DIRECTOR
Credential: LMSW
Phone: 985-858-2931