Healthcare Provider Details

I. General information

NPI: 1295169886
Provider Name (Legal Business Name): CENTRAL LA HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 BELVIEW RD
LEESVILLE LA
71446
US

IV. Provider business mailing address

PO BOX 7118
ALEXANDRIA LA
71306-0118
US

V. Phone/Fax

Practice location:
  • Phone: 337-238-6431
  • Fax: 337-238-7070
Mailing address:
  • Phone: 318-487-5191
  • Fax: 318-487-5184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA CRAIG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 318-487-5191