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General NPI Number Information
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NPI Number | 1558431106
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Entity Type | Organization
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Legal Business Name | SOUTHWEST LOUISIANA AIDS COUNCIL
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1715 COMMON ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-6135
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Country | US
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Telephone | 337-439-5861
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Fax | 337-436-8713
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Provider Business Mailing Address
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Address Line | 425 KINGSLEY ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-3533
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Country | US
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Telephone | 337-439-5861
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Fax | 337-436-8713
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Authorized Official
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Title or Position | CEO
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Name | TERRY L ESTES
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Credential |
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Telephone | 337-292-0619
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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 | CM 4387
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License Number State | LA
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Taxonomy #2
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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 #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | 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 | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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