Healthcare Provider Details

I. General information

NPI: 1265670905
Provider Name (Legal Business Name): ACADIANA ADDICTION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2009
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 CHOCTAW RD
SUNSET LA
70584-5415
US

IV. Provider business mailing address

156 CHOCTAW RD
SUNSET LA
70584-5415
US

V. Phone/Fax

Practice location:
  • Phone: 337-233-1111
  • Fax: 337-510-7026
Mailing address:
  • Phone: 337-233-1111
  • Fax: 337-510-7026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER HOWARD
Title or Position: VICE PRESIDENT & SECRETARY
Credential:
Phone: 615-861-6000