Healthcare Provider Details

I. General information

NPI: 1457263055
Provider Name (Legal Business Name): ROOT AND RISE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13102 CEDAR POINTE DR
SAINT FRANCISVILLE LA
70775-9523
US

IV. Provider business mailing address

13102 CEDAR POINTE DR
SAINT FRANCISVILLE LA
70775-9523
US

V. Phone/Fax

Practice location:
  • Phone: 225-250-3842
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUSTINE WORSHAM
Title or Position: OWNER
Credential: LCSW-BACS
Phone: 225-250-3842