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General NPI Number Information
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NPI Number | 1578601746
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Entity Type | Organization
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Legal Business Name | IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 145 HOSPITAL DR
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City | OAKDALE
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State | LA
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Zip | 71463-3034
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Country | US
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Telephone | 337-369-3001
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Fax | 337-639-3008
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Provider Business Mailing Address
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Address Line | 4105 KIRKMAN ST
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City | LAKE CHARLES
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State | LA
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Zip | 70607-4603
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Country | US
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Telephone | 337-475-3100
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Fax | 337-475-3105
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Authorized Official
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Title or Position | CREDENTIALING SPEC.
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Name | NIKYIA BROWN
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Credential |
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Telephone | 337-475-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 177
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License Number State | LA
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