MEDICARE: PEOPLE UNITED OF LOUISIANA, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	324500000X	Substance Abuse Rehabilitation Facility
3	3245S0500X	Children's Substance Abuse Rehabilitation Facility
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1306217062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE UNITED OF LOUISIANA, LLC

Provider Business Mailing Address
First Line	:	PO BOX 77053
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70879-7053
Country	:	US
Telephone Number	:	318-570-5400
Fax Number	:	318-323-1400

Provider Business Practice Location Address
First Line	:	2101 TOWER DR STE B
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-5045
Country	:	US
Telephone Number	:	318-570-5400
Fax Number	:	318-323-1400

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE ROACH
Credential	:	MBA
Telephone Number	:	318-570-5400

Provider Enumeration Date	:	10/07/2015
Last Update Date	:	07/18/2023

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