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NPI 1730104654

NPI 1730104654 : CAPITAL AREA HUMAN SERVICES DISTRICT : GONZALES, LA

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General NPI Number Information
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    NPI Number           |    1730104654
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPITAL AREA HUMAN SERVICES DISTRICT 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    07/18/2024
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Provider Practice Location Address
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    Address Line         |    1056 E WORTHY ST STE B 
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    City                 |    GONZALES
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    State                |    LA
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    Zip                  |    70737-4369
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    Country              |    US
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    Telephone            |    225-621-5770
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    Fax                  |    833-606-6429
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Provider Business Mailing Address
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    Address Line         |    PO BOX 66558 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70896-6558
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    Country              |    US
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    Telephone            |    225-922-2700
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    Fax                  |    225-362-5319
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     JANZLEAN  LAUGHINGHOUSE 
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    Credential           |    PHD, LCSW-BACS, LAC
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    Telephone            |    225-922-2700
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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       |    
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    License Number State |    
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