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General NPI Number Information
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NPI Number | 1306217062
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Entity Type | Organization
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Legal Business Name | PEOPLE UNITED OF LOUISIANA, LLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 2101 TOWER DR STE B
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City | MONROE
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State | LA
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Zip | 71201-5045
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Country | US
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Telephone | 318-570-5400
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Fax | 318-323-1400
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Provider Business Mailing Address
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Address Line | PO BOX 77053
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City | BATON ROUGE
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State | LA
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Zip | 70879-7053
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Country | US
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Telephone | 318-570-5400
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Fax | 318-323-1400
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE ROACH
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Credential | MBA
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Telephone | 318-570-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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