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General NPI Number Information
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NPI Number | 1346132420
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Entity Type | Organization
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Legal Business Name | LOUISIANA EDUCATION & ADDICTION NETWORK
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1301 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71101-5117
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Country | US
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Telephone | 318-471-1036
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Fax | 833-475-1659
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Provider Business Mailing Address
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Address Line | 1301 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71101-5117
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Country | US
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Telephone | 866-947-5326
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Fax | 833-475-1659
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DR. CODY ALLEN CLOUD
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Credential | PH. D.
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Telephone | 866-947-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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