Provider Demographics
NPI:1003308735
Name:SANABIT BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:SANABIT BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:LAXTON
Authorized Official - Suffix:IV
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:225-300-8788
Mailing Address - Street 1:673 E AIRPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6517
Mailing Address - Country:US
Mailing Address - Phone:225-300-8788
Mailing Address - Fax:225-308-8301
Practice Address - Street 1:673 E AIRPORT AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6517
Practice Address - Country:US
Practice Address - Phone:225-300-8788
Practice Address - Fax:225-308-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6522101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty