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NPI Code Detail

MEDICARE: DEPARTMENT OF HEALTH AND HOSPITALS

MEDICARE: DEPARTMENT OF HEALTH AND HOSPITALS
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
1324500000XSubstance Abuse Rehabilitation Facility044LA

General Provider Information

NPI Number : 1174563324
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPARTMENT OF HEALTH AND HOSPITALS
Provider Business Mailing Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 337-491-2355
Fax Number : 337-491-2492
Provider Business Practice Location Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 337-491-2355
Fax Number : 337-491-2492
Authorized Official
Title or Position : INPATIENT MANAGER
Name : MS. JEMECE MICHELLE RICHARD
Credential : LAC
Telephone Number : 337-491-2355
Provider Enumeration Date : 06/07/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1104871425 — DEPARTMENT OF HEALTH AND HOSPITALS
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1467481390 — MARGARET MASCOLL LAC, CCGC
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1023048527 — MS. MELANIE ELAINE LEJEUNE LAC
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1447530134 — CENIKOR FOUNDATION
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1508244351 — MELISSA DIANE PIERCE LPC
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 318-441-5928
Practice Fax:
1497128763 — TONI HUNT
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-433-3786
Practice Fax:

Directions to “DEPARTMENT OF HEALTH AND HOSPITALS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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