MEDICARE: SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	126	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124452289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY

Provider Business Mailing Address
First Line	:	158 REGAL ROW
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70360-6097
Country	:	US
Telephone Number	:	985-857-3748
Fax Number	:	985-426-6004

Provider Business Practice Location Address
First Line	:	500 RODERICK ST
Second Line	:	SUITE B
City	:	MORGAN CITY
State	:	LA
Zip	:	70380-2247
Country	:	US
Telephone Number	:	985-380-2460
Fax Number	:	985-918-6509

Authorized Official
Title or Position	:	DEPUTY DIRECTOR
Name	:	MRS. MISTY HEBERT
Credential	:	LPC
Telephone Number	:	985-876-8812

Provider Enumeration Date	:	08/26/2013
Last Update Date	:	06/05/2026

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Directions to “SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY ” Practice Location

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