Healthcare Provider Details

I. General information

NPI: 1750345799
Provider Name (Legal Business Name): DEPARTMENT OF HEALTH AND HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 DULLES DRIVE SUITE 1
LAFAYETTE LA
70506-3008
US

IV. Provider business mailing address

302 DULLES DRIVE SUITE 1
LAFAYETTE LA
70506-3008
US

V. Phone/Fax

Practice location:
  • Phone: 337-262-5870
  • Fax: 337-262-1272
Mailing address:
  • Phone: 337-262-5870
  • Fax: 337-262-1272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number005
License Number StateLA

VIII. Authorized Official

Name: MRS. JOYCE M BEN
Title or Position: OAD REGIONAL ADMINISTRATOR
Credential: LCSW-BACS
Phone: 337-262-5870