Healthcare Provider Details

I. General information

NPI: 1699829564
Provider Name (Legal Business Name): DEPARTMENT OF HEALTH AND HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 12/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 WEST AIRLINE HIGHWAY
LA PLACE LA
70068-3336
US

IV. Provider business mailing address

1809 W AIRLINE HWY
LA PLACE LA
70068-3336
US

V. Phone/Fax

Practice location:
  • Phone: 985-652-8444
  • Fax: 985-652-2450
Mailing address:
  • Phone: 985-652-8444
  • Fax: 985-652-2450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number148
License Number StateLA

VIII. Authorized Official

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