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General NPI Number Information
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NPI Number | 1053279927
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Entity Type | Organization
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Legal Business Name | LOUISIANA YOUTH AND FAMILY NETWORK
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 11960 BRICKSOME AVE STE B
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City | BATON ROUGE
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State | LA
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Zip | 70816-2776
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Country | US
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Telephone | 225-267-7419
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Fax | 225-380-1326
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Provider Business Mailing Address
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Address Line | PO BOX 77055
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City | BATON ROUGE
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State | LA
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Zip | 70879-7055
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Country | US
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Telephone | 225-267-7419
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Fax | 225-380-1326
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEPHANIE ROACH
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Credential | MBA, MSW, LMSW
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Telephone | 225-278-8375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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