MEDICARE: CAPITAL AREA HUMAN SERVICES DISTRICT

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)

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	:	1730104654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL AREA HUMAN SERVICES DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 66558
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70896-6558
Country	:	US
Telephone Number	:	225-922-2700
Fax Number	:	225-362-5319

Provider Business Practice Location Address
First Line	:	1056 E WORTHY ST STE B
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-4369
Country	:	US
Telephone Number	:	225-621-5770
Fax Number	:	833-606-6429

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JANZLEAN LAUGHINGHOUSE
Credential	:	PHD, LCSW-BACS, LAC
Telephone Number	:	225-922-2700

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/18/2024

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Directions to “CAPITAL AREA HUMAN SERVICES DISTRICT ” Practice Location

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